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Studies on the Cornea and Lens pp 415–444Cite as

Cataract in Pediatric Age Group: A Review

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Abstract

Cataract in pediatric age group is one of the important causes of childhood blindness. The visual results of cataract surgery in children have generally (Robb and Petersen, Trans Am Ophthalmol Soc LXXXX:183–200, 1992; Francois, Ophthalmology 86:1586–98, 1979) been poorer than in adults.

The visual outcome is unpredictable as it is not only the lens that determines the visual outcome. There is no standard classification, investigations, or treatment guidelines for the same. There are many controversies regarding predictive models; we would like to highlight these controversies and try to reach certain guidelines which may help clinician to manage these cases.

A number of issues regarding the management of pediatric cataract remain unresolved. The high risk of amblyopia and intraocular inflammation as well as strong vitreoretinal adhesions in the pediatric age group requires management based on different principles. Prospective, controlled clinical studies are not possible. This article reviews pertinent data regarding these management issues and controversies, and provides recommendations for treatment based on the available published data and the authors’ personal experience.

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Abbreviations

BETTS:

Birmingham Trauma Terminology Systems

IOL:

Intraocular lens

IOP:

Intraocular pressure

OGI:

Open globe injury

OTS:

Ocular trauma score

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Disclosure

No financial support received from any company or institution

This study is not presented at any conference or meeting

Authors do not have any financial interest in any aspect of this study

Author information

Authors and Affiliations

  1. Drashti Netralaya, Nr. GIDC, Chakalia Road, Dahod, 389151, Gujarat, India

    Mehul Shah & Shreya Shah

Authors
  1. Mehul Shah
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  2. Shreya Shah
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Corresponding author

Correspondence to Mehul Shah .

Editor information

Editors and Affiliations

  1. Innovative Vision Products Inc., Moscow, Russia, Innovative Vision Products, Inc.,, County of New Castle, Delaware, USA

    Mark A. Babizhayev

  2. Department of Ophthalmology and Visual Sciences, Truhlsen Eye Institute, College of Medicine, University of Nebraska Medical Center; Key Laboratory of Protein Chemistry and Developmental Biology of Education Ministry of China, College of Life Sciences, Hunan Normal University, Changsha, Hunan, China, Omaha, Nebraska, USA

    David Wan-Cheng Li

  3. Department of Pharmaceutical Sciences and Oklahoma Center for Neuroscience, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, USA

    Anne Kasus-Jacobi

  4. Department of Ophthalmology, University of Pristina, Faculty of Medicine, Kosovska Mitrovica, Serbia

    Lepša Žorić

  5. Ophthalmology, Miguel Hernandez University, Alicante, Spain

    Jorge L. Alió

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Shah, M., Shah, S. (2015). Cataract in Pediatric Age Group: A Review. In: Babizhayev, M., Li, DC., Kasus-Jacobi, A., Žorić, L., Alió, J. (eds) Studies on the Cornea and Lens. Oxidative Stress in Applied Basic Research and Clinical Practice. Humana Press, New York, NY. https://doi.org/10.1007/978-1-4939-1935-2_22

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