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Complications Of Pediatric Cataract Surgery

Physician

Dr. Anonymous

13 Jul 16 10:58AM

general surgery, ophthalmology
Case History : There are 1.5 million blind children in the world and one million of them live in Asia. The prevalence of childhood cataract has been reported as 1 to 15 cases in 10,000 children in the developing countries. It is estimated that globally, there are 200,000 children blind from bilateral cataract. Cataract surgery in young children poses different challenges and potential complications compared to those encountered in adult populations. Here we discuss the common complications of pediatric cataract surgery. Pediatric cataract is a significant cause of visual disability that significantly impact the neurobiological development of a child. It may be congenital if present within the first year of life, developmental if present after infancy, or traumatic. Complications in children vary based on the age of the patient during surgery and the cause of the cataract. The major challenges in achieving good visual acuity are increased postoperative inflammation, axial growth after cataract extraction, implant-power calculation, secondary glaucoma, posterior-capsule opacification (PCO), and amblyopia management. Early diagnosis, treatment or prompt surgical intervention are of crucial importance to prevent the development of irreversible stimulus-deprivation amblyopia. The article presents the common complications of pediatric cataracts surgery. Aphakic Glaucoma and Pseudophakic Glaucoma In infants, glaucoma is one of the most common complications after cataract surgery. The reported incidence ranges from 15-45% depending on the population studied. After cataract removal, in one-third of patients, glaucoma can develop in years or decades later. The reason(s) aphakic glaucoma are not known, however several possible mechanisms have been suggested such as chronic trabeculitis from inflammation blockade of the angle from retained lens material changes in the trabecular meshwork due to exposure to lens epithelial cells chemical factors from the vitreous an abnormal anterior segment Risk factors for aphakic glaucoma congenital onset of cataract microcornea younger age (equal or less than 3 months)
Investigation : In your opinion, what would be the best possible management for Aphakic Glaucoma and Pseudophakic Glaucoma?

Complications Of Pediatric Cataract Surgery

Physician

Dr. Anonymous

13 Jul 16 10:58AM

general surgery, ophthalmology
Case History : There are 1.5 million blind children in the world and one million of them live in Asia. The prevalence of childhood cataract has been reported as 1 to 15 cases in 10,000 children in the developing countries. It is estimated that globally, there are 200,000 children blind from bilateral cataract. Cataract surgery in young children poses different challenges and potential complications compared to those encountered in adult populations. Here we discuss the common complications of pediatric cataract surgery. Pediatric cataract is a significant cause of visual disability that significantly impact the neurobiological development of a child. It may be congenital if present within the first year of life, developmental if present after infancy, or traumatic. Complications in children vary based on the age of the patient during surgery and the cause of the cataract. The major challenges in achieving good visual acuity are increased postoperative inflammation, axial growth after cataract extraction, implant-power calculation, secondary glaucoma, posterior-capsule opacification (PCO), and amblyopia management. Early diagnosis, treatment or prompt surgical intervention are of crucial importance to prevent the development of irreversible stimulus-deprivation amblyopia. The article presents the common complications of pediatric cataracts surgery. Aphakic Glaucoma and Pseudophakic Glaucoma In infants, glaucoma is one of the most common complications after cataract surgery. The reported incidence ranges from 15-45% depending on the population studied. After cataract removal, in one-third of patients, glaucoma can develop in years or decades later. The reason(s) aphakic glaucoma are not known, however several possible mechanisms have been suggested such as chronic trabeculitis from inflammation blockade of the angle from retained lens material changes in the trabecular meshwork due to exposure to lens epithelial cells chemical factors from the vitreous an abnormal anterior segment Risk factors for aphakic glaucoma congenital onset of cataract microcornea younger age (equal or less than 3 months)
Investigation : In your opinion, what would be the best possible management for Aphakic Glaucoma and Pseudophakic Glaucoma?

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