Department of Ophthalmology, University Hospital Southampton, Southampton, UK.
Clinical and Experimental Sciences, School of Medicine, University of Southampton, Southampton, UK.
Eye (Lond). 2020 Dec;34(12):2197-2218. doi: 10.1038/s41433-020-1115-6. Epub 2020 Aug 10.
Congenital and childhood cataracts are uncommon but regularly seen in the clinics of most paediatric ophthalmology teams in the UK. They are often associated with profound visual loss and a large proportion have a genetic aetiology, some with significant extra-ocular comorbidities. Optimal diagnosis and treatment typically require close collaboration within multidisciplinary teams. Surgery remains the mainstay of treatment. A variety of surgical techniques, timings of intervention and options for optical correction have been advocated making management seem complex for those seeing affected children infrequently. This paper summarises the proceedings of two recent RCOphth paediatric cataract study days, provides a literature review and describes the current UK 'state of play' in the management of paediatric cataracts.
先天性和儿童期白内障并不常见，但在英国大多数儿科眼科团队的诊所中经常见到。它们通常与严重的视力丧失有关，而且很大一部分具有遗传病因，其中一些伴有明显的眼外共病。最佳诊断和治疗通常需要多学科团队内部的密切合作。手术仍然是治疗的主要方法。已经提倡了各种手术技术、干预时机和光学矫正选择，这使得那些不常看到受影响儿童的人对管理感到复杂。本文总结了最近两次 RCOphth 小儿白内障研究日的会议记录，提供了文献回顾，并描述了英国目前在小儿白内障管理方面的“现状”。
