Free previewYou're reading the free part of this topic. The rest is included with Clinical.See what's included
Congenital cataract
Pediatric Ophthalmology
Key Points
- •Congenital cataract is one of the most common treatable causes of childhood blindness - early detection via red reflex screening (Brückner test) is critical
- •Unilateral dense cataract: Surgery within 4–6 weeks of life (no later than 10 weeks) to prevent irreversible deprivation amblyopia
- •Oil-droplet cataract on retroillumination = galactosemia - check urine reducing substances (Clinitest positive, dipstick negative)
- •IATS: No VA advantage of primary IOL over contact lens aphakic correction at age 4.5 years for unilateral congenital cataract; IOL group had more adverse events
- •Aphakic glaucoma is the most important long-term complication (10–25%) - lifelong IOP monitoring is MANDATORY
Free preview ends here
Keep reading Congenital cataract
17 more sections are included with the Clinical plan.
- Definition
- Epidemiology
- Aetiology and causes
- Pathogenesis
- Classification
- Risk factors and associations