Khokhar Sudarshan Kumar, Pillay Ganesh, Dhull Chirakshi, Agarwal Esha, Mahabir Manish, Aggarwal Pulak
Dr. Rajendra Prasad Centre for Ophthalmic Sciences, AIIMS, New Delhi, India.
Indian J Ophthalmol. 2017 Dec;65(12):1340-1349. doi: 10.4103/ijo.IJO_1023_17.
Pediatric cataract is a leading cause of childhood blindness. Untreated cataracts in children lead to tremendous social, economical, and emotional burden to the child, family, and society. Blindness related to pediatric cataract can be treated with early identification and appropriate management. Most cases are diagnosed on routine screening whereas some may be diagnosed after the parents have noticed leukocoria or strabismus. Etiology of pediatric cataract is varied and diagnosis of specific etiology aids in prognostication and effective management. Pediatric cataract surgery has evolved over years, and with improving knowledge of myopic shift and axial length growth, outcomes of these patients have become more predictable. Favorable outcomes depend not only on effective surgery, but also on meticulous postoperative care and visual rehabilitation. Hence, it is the combined effort of parents, surgeons, anesthesiologists, pediatricians, and optometrists that can make all the difference.
小儿白内障是儿童失明的主要原因。儿童未经治疗的白内障会给儿童、家庭和社会带来巨大的社会、经济和情感负担。与小儿白内障相关的失明可通过早期识别和适当管理进行治疗。大多数病例是在常规筛查中被诊断出来的,而有些病例可能是在家长注意到白瞳症或斜视后才被诊断出来的。小儿白内障的病因多种多样,特定病因的诊断有助于预后评估和有效管理。多年来,小儿白内障手术不断发展,随着对近视漂移和眼轴长度增长认识的提高,这些患者的手术效果变得更可预测。良好的手术效果不仅取决于有效的手术,还取决于精心的术后护理和视力康复。因此,只有家长、外科医生、麻醉师、儿科医生和验光师共同努力,才能带来显著的改变。