Moore B D
Department of Ophthalmology, Children's Hospital, Boston, Massachusetts.
Optom Vis Sci. 1994 Mar;71(3):168-73. doi: 10.1097/00006324-199403000-00004.
This paper discusses the causes and treatment of congenital and acquired cataracts in children. Although congenital cataracts are relatively uncommon, they are one of the leading causes of serious visual impairment in neonates. Successful visual rehabilitation of these patients is predicted on prompt diagnosis and surgical and optical intervention. The issue of deprivation amblyopia and the critical period of visual development are integral to their effective treatment. Acquired cataracts are more common than congenital cataracts. They are usually easier to treat because vision developed before the formation of the cataract and deprivation amblyopia is not present. The treatment of pediatric cataracts is made more complicated than cataracts in adults because of the growth and development of the eye and the inevitable necessity of treating amblyopia.
本文探讨儿童先天性和后天性白内障的病因及治疗方法。虽然先天性白内障相对少见,但却是新生儿严重视力损害的主要原因之一。这些患者的成功视觉康复取决于早期诊断以及手术和光学干预。剥夺性弱视问题和视觉发育的关键期是其有效治疗不可或缺的部分。后天性白内障比先天性白内障更常见。它们通常更容易治疗,因为白内障形成前视力已发育,不存在剥夺性弱视。由于眼睛的生长发育以及治疗弱视的必然需求,小儿白内障的治疗比成人白内障更为复杂。