Principles and paradigms of pediatric cataract management

S. Basti*, M. J. Greenwald

*Corresponding author for this work

Research output: Contribution to journalReview article

22 Scopus citations

Abstract

Propensity for increased postoperative inflammation and capsular opacification, a refractive state that is constantly in a state of flux due to growth of the eye, difficulty in documenting anatomic and refractive changes due to poor compliance, and a tendency to develop amblyopia, makes management of cataract in the child different from that in the adult. The recent past has unraveled several caveats of pediatric cataract management - the importance of atraumatic surgery and complete removal of lens matter, benefits of in-the-bag intraoacular lens (IOL) implantation, role of titrating IOL power to counter refractive changes due to growth of the eye, prudery of continuously following these eyes for early detection of aphakic glaucoma and benefits of some surgical innovations. Although these promise to significantly improve our management of pediatric cataract, their long-term benefits are yet to be determined. We will also have to harness newer techniques, especially in the areas of wound construction and capsule management, and will have to develop effective strategies for the refractive management of infantile aphakia.

Original languageEnglish (US)
Pages (from-to)159-176
Number of pages18
JournalIndian Journal of Ophthalmology
Volume43
Issue number4
StatePublished - Jan 1 1995

Keywords

  • aphakic spectacles
  • capsulorhexis
  • contact lens
  • in-the-bag implantation
  • intraocular lens
  • lensectomy anterior vitrectomy
  • lenticonus
  • microphthalmos
  • pediatric cataract management
  • postoperative glaucoma
  • postoperative uveitis
  • primary posterior capsulotomy
  • secondary cataract
  • viscoelastic agents

ASJC Scopus subject areas

  • Ophthalmology

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