International Review of Ophthalmology

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Surgical treatment for pediatric cataract

ZHANG Jing-shang, WAN Xiu-hua   

  1. Beijing Institute of Ophthalmology, Beijing Tongren Eye Center, Beijing Key Laboratory of Ophthalmology and Visual Sciences, Beijing Tongren Hospital, Capital Medical University, Beijing 100005, China
  • Received:2015-10-25 Online:2016-02-22 Published:2016-03-07
  • Contact: WAN Xiu-hua, Email: xiuhuawan@126.com E-mail:xiuhuawan@126.com
  • Supported by:

    Beijing New Star of Science and Technology(H020821380190,Z131102000413025); Fund of Work Committee for Women and Children of China State Department(2014108); National Natural Science Fundation of China(30471861)

Abstract:

Pediatric cataract is the main reason for children avoidable blindness. Surgery is still the main treatment method for the pediatric cataract. For the complete cataract, the surgery should be carried on as soon as possible after 3 months old, and refractive correction  should be timely given postoperatively. When the eyes further developed in 1~2 years old,  the intraocular lens (IOL)  can be implanted. For the incomplete cataract, the  surgery  can be carried on and  the IOL implanted at the same time according to the eyesight of children. In pediatric cataract surgery, resection of the posterior capsule and anterior vitreous can effectively prevent posterior capsule opacification. The follow up is very important after cataract surgery in children, because the postoperative complications such as glaucoma, can be timely treated and controlled,  the ametropia can be timely found and fully corrected, and the amblyopia can be effective training. Especially nowadays, through the medical databases and mobile network platform, parents of children with follow-up reminder can be stressed of strict follow-up. Establishing a database of pediatric cataract is conducive to further optimize and improve the surgical  managment and follow-up of pediatric cataract, so as to achieve the best therapeutic effect.