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Frontiers of Medicine

ISSN 2095-0217

ISSN 2095-0225(Online)

CN 11-5983/R

Postal Subscription Code 80-967

2018 Impact Factor: 1.847

Front Med    2012, Vol. 6 Issue (4) : 360-365     DOI: 10.1007/s11684-012-0235-1
REVIEW |
Advances in the management of the surgical complications for congenital cataract
Fangqin Ma, Qi Wang, Lihua Wang()
Department of Ophthalmology, Provincial Hospital Affiliated to Shandong University, Jinan 250021, China
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Abstract  

The greatest concern in children with cataracts is irreversible visual loss. The timing of congenital cataract surgery is critical for the visual rehabilitation. Cataract surgery in children remains complex and challenging. The incidence of complications during or after operation is higher in children than adults. Some complications could be avoided by meticulous attention to surgical technique and postoperative care, and others were caused by more exuberant inflammatory response associated with surgery on an immature eye or the intrinsic eyes abnormalities. Utilizing of advanced techniques and timely applying topical corticosteroids and cycloplegic agents can reduce the occurrence of visual axis opacification. Operation on children with strabismus or nystagmus, and applying occlusion therapy on amblyopic eyes can balance the visual inputs to the two eyes. Diagnosis of glaucoma following congenital cataract surgery requires lifelong surveillance and continuous assessment of the problem. So cataract surgeries in children are not the end of journey, but one step on the long road to visual rehabilitation. This paper describes recent evidence from the literature regarding the advance of management after congenital cataract surgery.

Keywords cataract/congenital      surgery      cataract/complication     
Corresponding Authors: Wang Lihua,Email:wang_glasses@yahoo.com.cn   
Issue Date: 05 December 2012
URL:  
http://academic.hep.com.cn/fmd/EN/10.1007/s11684-012-0235-1     OR     http://academic.hep.com.cn/fmd/EN/Y2012/V6/I4/360
StudyNumber of patientsMean age at operation (months)Mean follow-up(months)PCO* (%)Secondary glaucoma (%)Synechia pigmentation (%)Setinal detachment (%)IOL decentration (%)
China [3]48658.60±48.0053.228.003.400.25
China [9]* *246 (399 eye)37.8841.3021.65.800.500.50
Korea [10]6138.0±42.3640.02±29.9914.103.5716.701.192.38
Nepal [11]8574.40±51.605.40±5.3019.64<10.000.001.78
Tab.1  The incidences of postoperative complications for congenital cataract among different Asiatic countries/regions
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