FREQUENCY OF TORCH INFECTION AMONG CONGENITAL CATARACT PATIENTS

SA Bhutto, AA Abro, NA Katpar, DD Shaikh, SA Abbasi, PA Gul
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Abstract

The objective of this descriptive cross-sectional study was to determine the frequency of TORCH infections among congenital cataract patients. The study was conducted at Shaheed Mohtarma Benazir Bhutto Medical University Larkana, from September 22, 2021, to March 21, 2022. Patients meeting the inclusion criteria, including those diagnosed with congenital cataracts and TORCH infection within the age range of one day to ten years, were included after obtaining informed consent from their guardians. A slit lamp examination was performed to identify lens opacities indicative of congenital cataracts. Subsequently, patients with congenital cataracts were sent for laboratory investigation. TORCH infections were diagnosed based on IgM levels and clinical manifestations specific to each pathogen. The results revealed that the age range of the patients included in the study was one day to ten years, with a mean age of 17.9 ± 21.8 months. Of the 85 patients with congenital cataracts, 36 (42.5%) were male, and 49 (57.5%) were female. Interestingly, TORCH infection was identified in 17 (19.6%) patients with congenital cataracts, while the remaining patients showed no evidence of TORCH infection. In conclusion, TORCH pathogens, particularly cytomegalovirus and rubella virus, were found to be frequent causative agents of congenital cataracts. These findings highlight the importance of early diagnosis and management of TORCH infections in patients with congenital cataracts to prevent visual impairment and other associated complications.
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先天性白内障患者火炬感染的频率
这项描述性横断面研究旨在确定先天性白内障患者中 TORCH 感染的频率。研究于 2021 年 9 月 22 日至 2022 年 3 月 21 日在拉尔卡纳沙希德-莫赫塔马-贝娜齐尔-布托医科大学进行。符合纳入标准的患者,包括被诊断患有先天性白内障和 TORCH 感染的 1 天至 10 岁年龄段的患者,在获得其监护人的知情同意后被纳入研究。对患者进行裂隙灯检查,以确定是否存在先天性白内障的晶状体混浊。随后,先天性白内障患者被送去进行实验室检查。根据 IgM 水平和每种病原体特有的临床表现诊断出 TORCH 感染。结果显示,参与研究的患者年龄范围为 1 天至 10 岁,平均年龄为(17.9 ± 21.8)个月。在 85 名先天性白内障患者中,36 名(42.5%)为男性,49 名(57.5%)为女性。有趣的是,在 17 名(19.6%)先天性白内障患者中发现了 TORCH 感染,而其余患者则没有 TORCH 感染的迹象。总之,TORCH 病原体,尤其是巨细胞病毒和风疹病毒,是先天性白内障的常见致病因子。这些发现强调了早期诊断和处理先天性白内障患者的 TORCH 感染以预防视力损伤和其他相关并发症的重要性。
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