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Abstract

Leukocoria is a term to describe the clinical findings of a white pupil reflex, pupil can appear normal on the bright room but shows absence of red reflex on ophthalmoscope examination. Leukocoria can be caused by anomalies in the retinal or refractive media opacities along the visual axis. Leukocoria in the age group of children that must be detected and treated. This writing was intended to get an overview of leucocoria in children from ophthalmology department Pediatric Ophthalmology division of Sanglah Hospital Denpasar. This research was an observational cross sectional study. Data were collected retrospectively without control by recording the characteristics and patient examination data under < 13 years old at Sanglah Hospital. Data on the characteristics of the subjects were analyzed descriptively. Caregorical scale data were described in the form of frequency and percentage while numerical scale data presented in the form of mean and standard deviation. The subjects included 28 children. The majority of patients were male (57.1%), with average age of 38.64±39.86 months and are mostly from Denpasar (21.4%). Unilateral leukocoria has the greatest proportion (53.6%). Diagnosis causing leukocoria mostly were congenital cataracts (39.3%), which unilaterally was the most common in the left eye (18.2%). Diagnosis of retinoblastoma was the second largest cause (17.9%), and unilaterally the most common was the left eye (40%). Retinopathy of prematurity was the smallest cause of leukocoria (7.1). Result of this study emphasize the importance of leukocoria as clinical signs of a disease with a significant visual impact.

 

 

 

 

 

 

 

 

 

Keywords: Leukocoria congenital cataract retinoblastoma

References

  1. Buscombe C, Headland S. Infantile leukocoria: the white pupil. Bujo, 2013;1(1):1-4.
  2. Sayuti K, Aziz A, Nasrul M. Profil leukokoria pada anak di RSUP Dr.M. Djamil Padang. MKA. 2014;37(1):38-43.
  3. Batra R, Rowe F, Rowlands A, Noonan C. Unilateral leukocoria in clinically normal eye. Br J Ophthalmol. 2009;93(4):556-7.
  4. Gupta H, Gupta P. Leukocoria. Indian pediatric. 2004;41(17):286.
  5. Haider S, Qureshi W, Ali A. Leucokoria in children. Journal of pediatric ophthalmology & strabismus. 2008;45(3):179-80.
  6. American Academy of Ophthalmology Staff. Pediatric ophthalmology and strabismus. American Academy of Ophthalmology. 2014-2015. h. 340
  7. Mickler C, Boden J, Trivedi RH, Wilson ME. Pediatric cataract. Pediatric Annals. 2011;40(2):83.
  8. Mohammadpour M, Ghassemi F, Toosi R, Nagravi B. End-gaze leukocoria as the first manifestation of retinoblastoma. Iranian Journal of Ophthalmology. 2012;24(4):67-9.
  9. Babic GS, Oros A, Vujanovic M, Cekic S. Stage 5 retinopathy of prematurity in one eye-case report. Acta Medica Medianae. 2012;51(1):37-41.
  10. Balmer A, Munier F. Differential diagnosis of leukocoria and strabismus, first presenting signs of retinoblastoma. Clinical Ophthalmology. 2007;1(4):431-9.
  11. Bruce AS, O’day J, McKay D, Swann, P. Posterior eye disease and glaucoma A-Z : Coats’ disease retinal telangiectasia. Optician. 2006;6067(232):51.
  12. Sharma VK, Arora T. An approach to a child with leukocoria. DOS Times. 2014;19(8):69-73.
  13. Basic and Clinical Science Course. Pediatric ophthalmology and strabismus. American Academy of Ophthalmology. 2011-2012. h . 254-5.
  14. Agarwal S, Agarwal A, Apple DJ, Burrato L, Allo JL. Textbook of ophthalmology basic sciences optics and refraction neuro-ophthalmology strabismus. Jaypee. 2002. h.1627.
  15. Wilson ME. Pediatric cataract: overview. Ases: aao.org. Diunduh Nov, 11 2015.
  16. Memon MN, Narsani AK, Nizamani NB. Visual outcome of unilateral traumatic cataract. Journal of the College of Physicians and Surgeons, 2012;22(8):497-500.
  17. Ashvini K, Robin R, Kimberly G. Surgical intervention for traumatic cataracts in children: epidemiology, complications and outcomes. J AAPOS. 2009;13(2):170-4.
  18. Nemet AY, Raz J, Sachs D, Friling R, Neuman R, dkk. Primary intraocular lens implantation in pediatric uveitis. Arch Ophthalmology. 2007;125(3):354-60.
  19. Jancevski M, Foster CS. Cataracts and uveitis. Discovery Medicine. 2010;9(44):51-4.
  20. Estafanous MS, Lowder CY, Meisler DM, Chauhan R. Phacoemusification cataract extraction and posterior chamber lens implantation in patients with uveitis. Am J Ophthalmol, 2001;131(5):620-5.
  21. Quinones K, Cervantes-Castaneda RA, Hynes AY, Daoud YJ, Foster CS. Outcomes of cataract surgery in children with chronic uveitis. J Cataract Refract Surg. 2009;35(4):725-31.
  22. Sitorus RS, Djatikusumo A, Andayani G, Barliana JD, Yulia DE. Pedoman nasional skrining dan terapi retinopathy of prematurity (ROP) pada bayi prematur di Indonesia. Pokja Nasional ROP dan Bayi Prematur. 2011. h. 1-32.

How to Cite

Widhiastuti, E. (2017). Profil pasien anak-anak dengan leukokoria di RSUP Sanglah Denpasar. Medicina, 48(3). https://doi.org/10.15562/medicina.v48i3.146
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Etika Widhiastuti
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