Case Report : A 12-Year-Old Pediatric Patient with Juvenile Cataract in the Right Eye (Oculi Dextra)
DOI:
https://doi.org/10.53089/medula.v15i3.1672Keywords:
katarak juvenil, ekstraksi katarak, laporan kasus katarak juvenil, katarak pada anak, intraokular lensAbstract
Juvenile cataract is one of the leading causes of visual impairment in children and adolescents, either due to congenital abnormalities or acquired factors. This condition may significantly reduce quality of life and carries a risk of amblyopia if not managed promptly. We report a 12-year-old boy presenting with blurred vision in the right eye for the past seven months, worsening within the last month. The patient complained of cloudy vision, difficulty seeing both near and far objects, and frequent glare. His mother noticed a whitish spot on the right eye. Ophthalmological examination revealed visual acuity of 1/300 in the right eye, leukocoria, whitish lens opacity, and a positive shadow test, while the left eye was within normal limits. The patient was diagnosed with juvenile cataract in the right eye and scheduled for cataract extraction with intraocular lens (IOL) implantation.References
Sheeladevi S, Lawrenson JG, Fielder AR, Suttle CM. Global prevalence of childhood cataract: A systematic review. Eye. 2016;30(9):1160–1169.
Gupta P, Langer R, Singh R, Ghosh A. Pediatric cataract. In: StatPearls. StatPearls Publishing; 2024.
Heidar K. Cataracts in children, congenital and acquired. EyeWiki. American Academy of Ophthalmology; 2025.
World Health Organization. Blindness and vision impairment. Geneva: WHO; 2023.
American Academy of Ophthalmology. Childhood cataract overview. San Francisco: AAO; 2023.
Chylack LT, Wolfe JK, Singer DM, Wolfe JM. Pathogenesis of juvenile cataract: Protein aggregation and oxidative stress. Surv Ophthalmol. 2022;67(3):356–370.
American Academy of Ophthalmology. Childhood cataract: Diagnosis and management. San Francisco: AAO; 2023.
World Health Organization. Preventing childhood blindness. Geneva: WHO; 2023.
American Academy of Ophthalmology. Cataract in the adult eye preferred practice pattern®. Ophthalmology. 2023;130(2):P1–P60.
Asbell PA, Dualan I, Mindel J, Brocks D, Ahmad M, Epstein S. Age-related cataract. Lancet. 2005;365(9459):599–609.
Resnikoff S, Pascolini D, Etya’ale D, Kocur I, Pararajasegaram R, Pokharel GP, et al. Global data on visual impairment in the year 2002. Bull World Health Organ. 2004;82(11):844–851.
Truscott RJW. Age-related nuclear cataract—oxidation is the key. Exp Eye Res. 2005;80(5):709–725.
Khurana AK. Comprehensive ophthalmology. 7th ed. New Delhi: Jaypee Brothers Medical Publishers; 2019.
American Academy of Ophthalmology. Secondary glaucoma associated with lens disorders. San Francisco: AAO; 2021.
Hejtmancik JF, Shiels A. Genetic origins of cataract. Arch Ophthalmol. 2015;133(1):1–9.
Lambert SR, Drack AV. Infantile cataracts. Surv Ophthalmol. 1996;40(6):427–458.
Tosini G, Ferguson I, Tsubota K. Effects of blue light on the circadian system and eye physiology. Mol Vis. 2016;22:61–72.
Shiels A, Bennett TM, Hejtmancik JF. Cat-Map: Putting cataract on the map. Mol Vis. 2010;16:2007–2015.
Kanski JJ, Bowling B, Nischal KK. Clinical ophthalmology: A systematic approach. 8th ed. Elsevier Health Sciences; 2016.
Riordan-Eva P, Whitcher JP. Vaughan & Asbury’s general ophthalmology. 18th ed. New York: McGraw-Hill; 2011.
Byrne SF, Green RL. Ultrasound of the eye and orbit. 2nd ed. St. Louis: Mosby; 2002.
Olsen T. Calculation of intraocular lens power: A review. Acta Ophthalmol Scand. 2007;85(5):472–485.
World Health Organization. World report on vision. Geneva: WHO; 2019.
Lansingh VC, Carter MJ. Use of global visual acuity data in a time trade-off approach to calculate the cost utility of cataract surgery. Arch Ophthalmol. 2007;125(9):1245–1250.
Chang DF, Braga-Mele R, Henderson BA, Mamalis N, Vasavada A. Intraocular lens implantation in the setting of zonular compromise: A report by the ASCRS Cataract Clinical Committee. J Cataract Refract Surg. 2009;35(8):1376–1385.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Medical Profession Journal of Lampung

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.











