The most frequent ocular comorbidity was myopia (27 eyes, 50%) followed by strabismus (11 eyes, 20.4%) and keratoconus (10 eyes, 18.5%). The mean Km was 48.73 ± 4D, and the mean axial length was 25.2 ± 2.5 mm. Phacoemulsification technique was used in 51 eyes, extracapsular technique in 2 eyes (3.7%), and intracapsular technique in 1 eye (1.85%) (the only aphakic eye after surgery). White cataract was found in 11 eyes (20.4%). Immediately sequential, bilateral cataract surgery was performed in 18 patients (90% of bilateral cases). Socio-demographic and clinical data such as the type of cataract, the keratometry and biometry, the type of surgery, the IOL material, and the complications before and after surgery were recovered.įifty-four eyes of 34 patients (23 female, 11 male, mean age 49 ± 8 years) underwent cataract surgery with general anesthesia. Retrospective, descriptive study in which 34 patients with Down’s syndrome who underwent cataract surgery in our center between 19 were included. To describe the cataract surgery outcomes in 34 adult patients with Down’s syndrome in our center between 19.Ĭlinical practice, tertiary hospital in Madrid, Spain. Ultimately, IGATES serves to advance the field of ophthalmic trauma and improve the care that patients with ophthalmic trauma receive. Furthermore, IGATES will act as a springboard for further research into the epidemiology, diagnosis, and management of ophthalmic trauma. The data collected through IGATES will be primarily used to develop a more robust and improved ophthalmic trauma prognostic classification system, the Ocular Trauma Score-2 (OTS-2), which builds on previous systems such as the Birmingham Eye Trauma Terminology System (BETTS) and Ocular Trauma Score (OTS). IGATES currently has 37 participating centers globally. IGATES is hosted on a secure web-based platform which exhibits user-friendly smart features, an integrated Ocular Trauma Score (OTS) prognosis calculator, efficient data collection points, and schematic graphical software. We draw lessons from past and existing clinical registries related to ophthalmology and propose a new suitable international multicenter clinical registry for ophthalmic trauma: the International Globe and Adnexal Trauma Epidemiology Study (IGATES). However, there is currently a lack of a centralized international data repository for ophthalmic trauma. Clinical registries are known to be valuable in guiding the diagnosis, management, and prognostication of complex diseases. The prevalence of ophthalmic trauma varies considerably based on geographic location, socio-economic status, age groups, occupation, and cultural practices such as firework celebrations. Ophthalmic trauma is a leading cause of preventable monocular blindness worldwide.
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