Full Description
This book aims to assist ophthalmologists in providing the best possible care for children with congenital cataracts. The entire patient pathway is covered, from preoperative assessment through application of the various surgical techniques to postoperative care and management of complications. Among the topics discussed are new developments in molecular genetics relevant to patient evaluation, intraocular lens power formulas, and the findings of the Infant Aphakia Treatment Study. The surgical section describes anterior capsulotomy, lensectomy, selection of intraocular lens (IOL) power, IOL implantation in the capsular bag, posterior capsulotomy techniques, the use of secondary IOLs and iris-fixated IOLs in children, and surgical management in developing countries. Visual outcomes after surgery are also fully addressed, with chapters on the occurrence of strabismus, nystagmus, and poor stereopsis.
Contents
Overview: History of Congenital Cataract Surgery.- Epidemiology of Congenital Cataract. Preoperative Assessment: The Role of Molecular Genetics in the Assessment of Children with Congenital Cataract.- Morphology of Congenital Cataracts.- Baseline Predictors of Visual Outcome. Surgical Techniques: Anterior Capsulotomy.- Lensectomy.- Selecting an IOL Power.- IOL Implantation in the Capsular Bag and Posterior Capsulotomy Techniques.- Secondary IOLs/ Iris Fixated IOLs in Children.- Management of Congenital Cataract in Developing Nations. Perioperative Care: Intraoperative and Postoperative Medication.- Amblyopia Therapy and Occlusion Regimens.- Contact Lens Correction of Aphakia.- Postoperative Complications After Pediatric Cataract Surgery.- Management of Aphakic/ Pseudophakic Glaucoma. Outcomes: Visual Outcomes.- Strabismus.- Nystagmus/Fixation Instability.- Stereopsis outcomes.
