Nonsurgical Management of Infantile and Juvenile Cataract

  • Michael X. RepkaEmail author


While most childhood cataracts are surgically removed, some deserve to be followed. The physician uses a direct ophthalmoscope to assess size and obstruction of the visual axis and the retinoscope to determine the distortion of the red reflex. Anterior polar and lamellar cataracts are the forms of pediatric cataract that are commonly followed. Careful longitudinal monitoring along with amblyopia treatment and eyeglasses prescription are required, often for many years.


Cataract Lamellar cataract Anterior polar cataract Retinoscopy 


  1. 1.
    Beck AD, Freedman SF, Lynn MJ, et al. Glaucoma-related adverse events in the infant Aphakia treatment study: 1-year results. Arch Ophthalmol. 2012;130:300–5.CrossRefGoogle Scholar
  2. 2.
    Writing Committee for the Pediatric Eye Disease Investigator Group (PEDIG), Repka MX, Dean TW, et al. Visual acuity and ophthalmic outcomes in the year after cataract surgery among children younger than 13 years. JAMA Ophthalmol. 2019;137(7):817–24.Google Scholar
  3. 3.
    Anesthesia and Brain Development in Your Child. 2019. Accessed 2 June, 2019, at

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© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.Johns Hopkins University School of MedicineBaltimoreUSA

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