title: Late diagnosis and surgical treatment of patients diagnosed with unilateral congenital cataract at Fundación Visión, in Asuncion, Paraguay.
abstract: Purpose: Providing data on the late diagnosis and surgical treatment of patients who underwent surgery for total unilateral congenital cataract. Methods: Systematic retrospective review of the medical record of all patients between 0 and 16 years old with total unilateral congenital cataract who underwent surgery at Fundación Vision between January 2010 and July 2012. Results: Medical records of 37 patients (51 % females) were studied, age was 7.4 (± 4.9) years (average ± SD) and 62% lived on Departamento Central (the most populated region from Paraguay). A total of 97.3% patients underwent late surgical treatment and 86.5% received a late diagnosis. The average time elapsed between the diagnosis and the surgical treatment was one month, and 62.2% of the patients underwent surgery within six months from the diagnosis. Conclusion: This study evidences that most of the patients in our series had a late treatment as a result of a late diagnosis. Based on these results we recommend establishing strategies to improve the early detection and surgical treatment of the newborns.
authors.affiliation: Fundación Visión, Universidad Católica Nuestra Señora de la Asunción, Asunción, Paraguay.
authors.forename: Manuel
authors.initials: M
authors.lastname: Zegarra
authors.affiliation: Fundación Visión, Universidad Católica Nuestra Señora de la Asunción, Asunción, Paraguay.
authors.forename: Gisella Harumi
authors.initials: GH
authors.lastname: Burga
authors.affiliation: IAPB/V2020 Latin America, Weston, Florida, USA.
authors.forename: Van
authors.initials: V
authors.lastname: Lansingh
authors.affiliation: Instituto de Investigaciones en Ciencias de la Salud, Universidad Nacional de Asunción, Asunción, Paraguay.
authors.forename: Margarita
authors.initials: M
authors.lastname: Samudio
authors.affiliation: Fundación Visión, Universidad Católica Nuestra Señora de la Asunción, Asunción, Paraguay.
authors.forename: Edgar
authors.initials: E
authors.lastname: Duarte
authors.affiliation: Fundación Visión, Universidad Católica Nuestra Señora de la Asunción, Asunción, Paraguay.
authors.forename: Rocio
authors.initials: R
authors.lastname: Ferreira
authors.affiliation: Fundación Visión, Universidad Católica Nuestra Señora de la Asunción, Asunción, Paraguay.
authors.forename: Yesenia
authors.initials: Y
authors.lastname: Dorantes
authors.affiliation: Fundación Visión, Universidad Católica Nuestra Señora de la Asunción, Asunción, Paraguay.
authors.forename: Juan Carlos
authors.initials: JC
authors.lastname: Ginés
authors.affiliation: Hospital Civil de Guadalajara, Universidad de Guadalajara, Guadalajara, Mexico.
authors.forename: Luz
authors.initials: L
authors.lastname: Zepeda