Bolio‑Molina LÁ, Toledo‑Verónico G

Language: Spanish
References: 10
Page: 18-20
PDF size: 188.76 Kb.

ABSTRACT

Objective: To report the case of a newborn with congenital cataract, which is rare condition (from one to 15 cases per 10,000 newborns) and in many cases, there is a delay in diagnosis. Case presentation: 16-day-old female full-term newborn, with normal pregnancy. There was no relevant personal or family history. From the third day of life, her mother noticed “greater brightness” in her left eye. The only abnormality detected on physical examination was left pupillary hyporeflexia, in addition to an asymmetric red reflex sign and “centropupillary” opacity. A pediatric ophthalmologist confirmed the diagnosis of congenital cataract and removed it at three months of age. Although her subsequent evolution was satisfactory, she developed glaucoma. Conclusion: Congenital cataract is an eye problem that is difficult to diagnose, therefore knowledge and training are required for its detection. For its identification, the deliberate search for the red reflex in all newborns and infants is required.

REFERENCES

1. De Diego AE, Savirón CR, Odriozola GM, Lerma PD, Corbacho GT, Pérez ÍM. Diagnóstico prenatal de catarata congénita. Casos clínicos. Rev Chil Obstet Ginecol. 2013; 78(6): 455-459.

2. Khokhar S, Jose CP, Sihota R, Midha N. Unilateral congenital cataract: clinical profile and presentation. J Pediatr Ophthalmol Strabismus. 2018; 55(2): 107-112.

3. Committee on Practice and Ambulatory Medicine, Section on Ophthalmology, American Association of Certified Orthoptists, American Association for Pediatric Ophthalmology and strabismus, American academy of ophthalmology. Visual system assessment in infants, children, and young adults by pediatricians. Pediatrics. 2016; 137(1): 28-30.

4. Donahue SP, Nixon CN, Committee on Practice and Ambulatory Medicine, Section on Ophthalmology, American Association of Certified Orthoptists, American Association for Pediatric Ophthalmology and Strabismus, American Academy of Ophthalmology. Procedures for the Evaluation of the Visual System by Pediatricians. Pediatrics. 2016; 137(1): 1-9.

5. Li LH, Li N, Zhao JY, Fei P, Zhang G, Mao J, Rychwalski P. Findings of perinatal ocular examination performed on 3573, healthy full-term newborns. Br J Ophthalmol. 2013; 97: 588-591.

6. López-Torres V, Salamanca-Libreros OF, Törnquist AL. Recomendaciones para el examen visual en los niños. Iatreia. 2019; 32(1): 40-51.

7. Pérez-Pérez JF, Arrollo Yllanes ME, Murillo-Murillo L. Manejo de la catarata congénita: experiencia en el Hospital General de México. Rev Mex Oftalmol. 2005; 79(3): 139-144.

8. Juárez-Echenique JC. Tamizado oftalmológico neonatal. Criterio pediátrico. Acta Pediatr Mex. 2015; 36: 361-363.

9. Lee JO, Lee JJ, Kim MJ, Lee HJ, Lee DH, Kim JS et al. Prenatal ultrasonographic diagnosis of congenital cataract: a case report. Korean J Obstet Gynecol. 2012; 55(11): 839-842.

10. Uribe-Campos L, Arroyo-Muñoz L, Mandujano-Valdez M, Moreno-Macías H, Centeno-Ruíz JC, Muñoz-Hernández R. Catarata congénita bilateral: ambliopía por deprivación y su relación con el desarrollo. Rev Mex Oftalmol. 2018; 92(4): 191-200.