Evaluation of screening procedures for congenital cataracts
2003 (English)In: Acta Paediatrica, ISSN 0803-5253, Vol. 92, no 12, 1468-1473 p.Article in journal (Refereed) Published
Aim: To evaluate the efficacy of two different Swedish screening procedures for early detection of congenital cataracts in comparison with no screening. Methods: Children born between January 1992 and December 1998 in Swedish regions with an established eye-screening routine procedure, diagnosed with congenital cataract, and operated on before 1 y of age, were included in a retrospective study. Age at referral and age at time of the operation were compared between regions using different screening procedures: screening in the maternity wards (Region 1), at the well-baby clinics (Region 2) and one region without any screening (Region 3). Results: Seventy-two children were included in the study. Concerning early diagnosis and surgery, Region 1 differed significantly from Regions 2 and 3, which were more similar and were combined for further analysis. The difference in detected cases was greatest at 21 d of age (55% vs 18%, p < 0.001), but persisted even at 100 d of age (78% vs 64%, p < 0.02). Region 1 screening resulted in more and earlier cases detected than the other two regions (22 vs 15 per 100 000 births). In 72% of all cases, surgery was performed in response to referrals from either the maternity wards (36%), or the well-baby clinics (36%). However, half of the cases from the well-baby clinics were detected too late, i.e. at >100 d. Conclusion: Eye screening in the maternity ward is preferable to well-baby clinic screening and to no screening at all, since it leads to early detection. Screening should also be performed routinely at well-baby clinics within the period when successful treatment is possible.
Place, publisher, year, edition, pages
2003. Vol. 92, no 12, 1468-1473 p.
National CategoryMedical and Health Sciences
IdentifiersURN: urn:nbn:se:liu:diva-26546DOI: 10.1080/08035250310006476Local ID: 11108OAI: oai:DiVA.org:liu-26546DiVA: diva2:247095