Cataract in children in sub-Saharan Africa: an overview

Abstract

Introduction: Cataract is a leading cause of avoidable blindness in children in sub-Saharan Africa (SSA). We provide an overview of the epidemiological evidence about childhood cataract in SSA, we look at the resources in place to address the needs of affected children and families, the remaining challenges, and bring a perspective about the way forward for the next five years.Areas covered: The paper covers the following areas: epidemiology of the disease; barriers of access and mitigation strategies; management of childhood cataract, and the human resources that should be in place across the whole continuum of care – from case finding to the achievement of optical outcomes and educational placement after the delivery of low vision and rehabilitation services.Expert commentary: Despite the creation of new Child Eye Health Tertiary Facilities (CEHTF) in recent years, there is still a shortage of pediatric ophthalmologists and other staff members in SSA. Accessing training opportunities is challenging, especially in Francophone Africa, and a more systematic, multidisciplinary, and strategic approach to training for CEHTF as well as supporting CEHTF is needed to strengthen the delivery of comprehensive long-term care. The links between the eye care and the education sectors need to be strengthened throughout SSA.