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Dr. Subhasish Das

Consultant - Ophthalmology

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Reviewed by

Dr. Subhasish Das

Consultant - Ophthalmology

Manipal Hospitals, Salt Lake

Cataract Surgery In Children: Specialised Techniques And Considerations

Reviewed by:

Dr. Subhasish Das

Posted On: Dec 22, 2023

blogs read 4 Min Read

Cataract Surgery in Children

Imagine a world painted in blurred strokes, where clarity is a distant dream. For children affected by paediatric cataracts, this isn't a hypothetical scenario—it's a harsh reality. Recent data reveals an alarming rise in paediatric cataracts, impacting not just vision but also the development of these young minds. But there's a glimmer of hope: advancements in cataract surgery offer a pathway to fix clarity and transform lives. Let's explore the medical miracles to restore the lost colours of our young future.

Understanding Cataracts in Children

Cataracts are typically associated with ageing, and can also affect children. These cloudy formations within the eye's lens hinder vision. While cataracts in children are relatively rare, affecting around 3 out of every 10,000 kids, their impact is profound. It not only disrupts vision but also impedes vital developmental milestones. Effectiveness in treating paediatric cataracts largely depends on early diagnosis and tailored interventions. Various types of paediatric cataracts exist, often classified based on their location within the lens or the underlying cause. Congenital cataracts, occurring at birth, and developmental cataracts that manifest in early childhood, are among the common types.

Identifying Paediatric Cataracts

Detecting paediatric cataracts demands a keen eye for subtle signs. Parents should remain vigilant for indications like crossed eyes, rapid eye movements, or an unusual clouding in the eye's pupil. Diagnostic tests, from basic eye exams to specialised imaging techniques like ultrasound or MRI, help confirm the diagnosis before the top ophthalmologist in Kolkata suggests a cataract eye surgery. Some of the prominent signs and symptoms are listed below:

  • Clouded, blurry, or hazy vision
  • Abnormal eye movements (nystagmus)
  • Poor depth perception
  • Light sensitivity
  • Rubbing or squinting of eyes

Diagnostic Tests and Imaging Techniques to Identify Cataracts in Children

Accurate diagnosis relies on comprehensive eye examinations, including:

  • Visual acuity tests
  • Slit-lamp examinations, and
  • Dilated eye evaluations

Advanced imaging techniques such as:

  • Ultrasound
  • Optical coherence tomography (OCT) and
  • Magnetic resonance imaging (MRI)

The above diagnostic tests and imaging techniques aid in assessing the extent and nature of the cataract.

Surgical Procedures - Paediatric Cataract Surgery

Paediatric cataract surgery is intricate due to the developing eye structures. Specialised techniques like paediatric intraocular lenses (IOLs) and minimally invasive procedures cater to these unique challenges. Advanced surgical approaches, including phacoemulsification and aspiration, enable precise removal of the cataract. Additionally, the implementation of capsular tension rings and iris hooks assists in stabilising the lens capsule and maintaining optimal conditions during the cataract surgery procedure.

Unique Challenges in Paediatric Cataract Surgery

Children's eyes are still growing and changing, demanding utmost precision during surgery to preserve vision. Post-operative management involves amblyopia therapy and ongoing monitoring for potential complications.

Complications, Management, and Recovery

Complications post-surgery may include inflammation, increased intraocular pressure, or posterior capsule opacification. Vigilant monitoring and prompt intervention help manage these issues. The recovery process varies, but with diligent care and follow-ups, most children experience significant improvement in vision within weeks to months.

Paediatric cataracts present a critical concern affecting a child's vision and development. Early detection through vigilant observation and timely medical intervention is pivotal. Advanced techniques in cataract surgery offer hope for improved outcomes. Encouraging early diagnosis and urging for specialized care can significantly impact a child's visual future. Manipal Hospitals, Kolkata, stands at the forefront of providing specialised paediatric ophthalmology services. By emphasising the importance of early diagnosis and intervention, Manipal Hospitals aims to empower parents and caregivers to seek timely medical attention for children with visual concerns. Together, let's ensure a brighter and clearer future for our children.

FAQ's

Despite being relatively rare, cataracts can occur in children. They may be present at birth (congenital) or develop during childhood. Early detection is key, and cataract surgery may be performed as early as a few weeks old to prevent long-term vision issues.

Signs include poor eye contact, excessive tearing, abnormal eye movements, and a white or greyish pupil. If you notice any of these signs, consult with an ophthalmologist in Kolkata for a comprehensive eye examination.

Recovery, post cataract eye surgery is generally swift, and children can resume normal activities shortly after surgery. However, post-operative care, including the use of prescribed eye drops, is crucial to ensure optimal healing.

Yes, in most cases, glasses or contact lenses will be prescribed to help correct any residual refractive error. Regular follow-up appointments with the eye care professional are essential to monitor your child's visual development.

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