Shrestha U D
Tilganga Institute of Ophthalmology, Kathmandu, Nepal.
Nepal J Ophthalmol. 2012 Jan-Jun;4(1):138-49. doi: 10.3126/nepjoph.v4i1.5866.
Pediatric cataract is totally different from adult cataract. The objective of this review article is to describe the peculiarities of pediatric cataract and the controversies and practices in pediatric cataract surgery. The differences in the surgical technique are discussed in the article. There are lots of controversies regarding IOL implantation in children. The result of the review is that the pediatric cataract surgery should be performed in between 6-8 weeks of age. There is no contra-indication for IOL implantation. Surgeons can implant either polymethylmethacrylate (PMMA) or Acrysoft foldable IOL.
小儿白内障与成人白内障完全不同。这篇综述文章的目的是描述小儿白内障的特点以及小儿白内障手术中的争议和实践。文章讨论了手术技术的差异。关于儿童人工晶状体植入存在许多争议。综述结果是小儿白内障手术应在6至8周龄之间进行。人工晶状体植入没有禁忌证。外科医生可以植入聚甲基丙烯酸甲酯(PMMA)或Acrysoft可折叠人工晶状体。