Guidelines For Pediatric Cataracts Surgery

Original Article

Abstract

Modern cataract surgery seeks to restore a child’s natural visual axis for healthy visual development, achieve the optimal
refractive result to avoid amblyopia, and provide a secure general anaesthesia.
In children, subjective complaints about eyesight are uncommon. The white or partly white pupil is the first symptom
that parents often see. Particularly in cases with unilateral cataracts, strabismus may be the first sign, and in newborns
with bilateral lens opacities, nystagmus or poor fixation may be present.
Every youngster who visits the eye outpatient clinic must have a complete ocular and systemic examination. The
evaluation of pupillary responses, ocular motility, and visual acuity should all be part of an eye exam. To design the
surgical operation, a slit lamp examination is required to determine the size, density, and location of the opacity. A
fundus examination is performed to check for disc and macula abnormalities and pigmentation. To determine if the
cataract is congenital, developmental, or traumatic, the parents’ medical history is helpful.