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2016 ; 11
(3
): 310-2
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Congenital Cataract Screening
#MMPMID27621790
Rajavi Z
; Sabbaghi H
J Ophthalmic Vis Res
2016[Jul]; 11
(3
): 310-2
PMID27621790
show ga
Congenital cataract is a leading cause of visual deprivation which can damage the
developing visual system of a child; therefore early diagnosis, management and
long-term follow-up are essential. It is recommended that all neonates be
screened by red reflex examination at birth and suspected cases be referred to
ophthalmic centers. Early surgery (<6 weeks of age, based on general neonatal
health) is important for achieving the best visual outcome particularly in
unilateral cases. In bilateral cases, surgery is highly recommended before
appearance of strabismus or nystagmus (<10 weeks of age) with no longer than a
one-week interval between the fellow eyes. Parents should be informed that
surgery is a starting point and not the endpoint of treatment. Appropriate
postoperative management including immediate optical correction in the form of
aphakic glasses or contact lenses, or intraocular lens (IOL) implantation at the
appropriate age (>1 year) is highly recommended. After surgery, amblyopia
treatment and periodic follow-up examinations should be started as soon as
possible to achieve a satisfactory visual outcome. Practitioners should consider
the possibility of posterior capsular opacity, elevated intraocular pressure and
amblyopia during follow-up, especially in eyes with microphthalmia and/or
associated congenital anomalies. All strabismic children should undergo slit lamp
examination prior to strabismus surgery to rule out congenital lens opacities.
From a social point of view, equal and fair medical care should be provided to
all children regardless of gender.