A Case of Pediatric Cataract Undetected by Spot™ Vision Screener

  • Arai Shinji
    Department of Ophthalmology, The Hospital of Hamamatsu University School of Medicine
  • Takagi Yuri
    Department of Ophthalmology, The Hospital of Hamamatsu University School of Medicine
  • Haseoka Takashi
    Department of Ophthalmology, The Hospital of Hamamatsu University School of Medicine
  • Inagaki Risako
    Department of Ophthalmology, The Hospital of Hamamatsu University School of Medicine
  • Iimori Hirohito
    Department of Ophthalmology, The Hospital of Hamamatsu University School of Medicine
  • Suzuki Hiroko
    Department of Ophthalmology, The Hospital of Hamamatsu University School of Medicine
  • Komori Miwa
    Department of Ophthalmology, The Hospital of Hamamatsu University School of Medicine
  • Hikoya Akiko
    Department of Ophthalmology, The Hospital of Hamamatsu University School of Medicine
  • Hotta Yoshihiro
    Department of Ophthalmology, The Hospital of Hamamatsu University School of Medicine
  • Sato Miho
    Department of Ophthalmology, The Hospital of Hamamatsu University School of Medicine

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Other Title
  • Spot™ Vision Screenerで異常が検出されなかった小児白内障の1例

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Abstract

<p>[Purpose] We reported a case of pediatric cataract that required cataract surgery despite of no abnormalities detected by the Spot™ Vision Screener (SVS).</p><p>[Case] A 4-year-old boy was detected with poor vision in the right eye in a medical checkup for 3-year-old children. Although autorefractometry showed variation in the astigmatic power and a decline in the confidence coefficient, the SVS indicated normal finding. The right and left visual acuities were 0.2 and 1.0, respectively, without correctors. The right eye was diagnosed with posterior subcapsular cataract and posterior lenticonus. No abnormalities were found in the cornea or fundus. Because the amount of higher-order aberrations was large and the refractive errors were not expected to be successfully corrected, cataract surgery was performed. With postoperative refractive correction and occlusion therapy, his right visual acuity improved to 1.0.</p><p>[Conclusion] By performing both SVS and conventional visual acuity tests in the medical checkup for 3-year-old children, mild cataract may be detected.</p>

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