This article is based on a study first reported in Läkartidningen 2012; 109: 694–7.
Congenital cataract screening in maternity wards is effective: evaluation of the Paediatric Cataract Register of Sweden
Article first published online: 31 DEC 2012
©2012 The Author(s)/Acta Pædiatrica ©2012 Foundation Acta Pædiatrica
Volume 102, Issue 3, pages 263–267, March 2013
How to Cite
Magnusson, G., Bizjajeva, S., Haargaard, B., Lundström, M., Nyström, A. and Tornqvist, K. (2013), Congenital cataract screening in maternity wards is effective: evaluation of the Paediatric Cataract Register of Sweden. Acta Paediatrica, 102: 263–267. doi: 10.1111/apa.12111
- Issue published online: 5 FEB 2013
- Article first published online: 31 DEC 2012
- Accepted manuscript online: 3 DEC 2012 05:18PM EST
- Manuscript Accepted: 28 NOV 2012
- Manuscript Revised: 14 NOV 2012
- Manuscript Received: 13 AUG 2012
- Blindness prevention;
- Congenital cataract;
- Newborn examination;
- Well-baby clinics
To study which eye-screening protocol prevails in Swedish maternity/neonatal wards, evaluate efficacy in a prospective study and compare results with earlier Swedish retrospective results.
Surveys were sent in 2006 to maternity/neonatal and women's health departments regarding screening policy. Response frequency was 96% (122/127). Data were derived from the Paediatric Cataract Register (PECARE), Sweden. All Swedish children diagnosed with congenital cataract and operated on before 1 year of age between January 2007 and December 2009 were included. Statistical comparison with earlier retrospective results was performed.
Eye screening is a routine protocol at a rate of 90% of Swedish maternity wards. Sixty-one children were included in the study. An increase was shown in case referrals from maternity wards compared to 10 years ago (64% vs. 50%). Detection was performed within 6 weeks of age in 75% of the cases. A significant difference between the probabilities of early referral (0.38; p < 0.001, < 6 weeks of age) and early surgery (0.36; p < 0.001) (PECARE) was found in comparison with the historical data of no maternity-ward screening. Well-baby clinics were instrumental in early detection, as well.
Eye screening in maternity wards is effective. Clear Swedish directives are to be preferred.