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Chapter-08 Cataracta Juvenilis and Congenital Lens Subluxation Surgical Procedures

BOOK TITLE: Surgical Techniques in Ophthalmology (Pediatric Ophthalmic Surgery)

Author
1. Pajic Bojan
2. Müller Jörg
3. Pajic-Eggspuehler Brigitte
4. Ljubic Jasna
ISBN
9789350251485
DOI
10.5005/jp/books/11282_8
Edition
1/e
Publishing Year
2011
Pages
9
Author Affiliations
1. Vision Care, Klinik Pallas, Louis Giroud Str. 20, 4600 Olten, Switzerland, Klinik Pallas, Louis Giroud-Str. 20, 4600 Olten, Switzerland, Swiss Eye Research Foundation, Eye Clinic Orasis Titlisstrasse 44, 5734 Reinach AG Switzerland, Eye Clinic Orasis; Swiss Eye Research Foundation, Titlisstrasse 44, 5734, Reinach, AG Switzerland, Klinik Pallas,Louis Giroud Str, Olten, Switzerland, Swiss Eye Research Foundation, Eye Clinic Orasis, Titlisstrasse, Reinach, Switzerland, Chief of the Cornea and Refractive, Klinik Pallas, Louis Giroud-Str. 20, 4600 Olten, Switzerland, Klinik Pallas, LouisGiroud Str 20, 4600 Olten Switzerland, Klinik Pallas Louis Giroud-Str.20 4600, Olten, Switzerland, Swiss Eye Research Foundation, Eye Clinic ORASIS, Titlisstrasse 44, 5734, Reinach, Switzerland, Klinik Pallas, Louis Giroud Str. 20, 4600 Olten, Switzerland, Klinik Pallas, Louis Giroud-Str. 20, 4600 Olten (Switzerland), Vedis, Klinik Pallas, Olten, Switzerland, Vedis, Klinik Pallas, 4600 Olten, Switzerland
2. Klinik Pallas, Louis Giroud-Str. 20, 4600 Olten, Switzerland, Swiss Eye Research Foundation, Eye Clinic Orasis Titlisstrasse 44, 5734, Reinach, Switzerland, Nova Optik, Hauptplatz6, 6431 Schwyz, Switzerland, Nova Optik, Hauptplatz 6, 6431 Schwyz, Switzerland, Klinik Pallas, Louis Giroud-Str. 20 4600 Olten, Switzerland, Klinik Pallas, Louis Giroud-Str 20, 4600 Olten, Switzerland, Klinik Pallas, Louis Giroud-Str. 20, 4600 Olten (Switzerland)
3. Swiss Eye Research Foundation, Eye Clinic ORASIS, Titlisstrasse 44, 5734, Reinach, Switzerland, Augen Zentrum Pajic (AZP), Research Institute, Titlisstrasse, Reinach, Switzerland, Swiss Eye Research Foundation, Eye Clinic Orasis, Titlisstrasse, Reinach, Switzerland, Swiss Eye Research Foundation, Eye Clinic Orasis Titlisstrasse 44, 5734, Reinach, Switzerland
4. Swiss Eye Research Foundation, Eye Clinic ORASIS, Titlisstrasse 44, 5734, Reinach, Switzerland, General Hospital, Leskovac, Serbia, Swiss Eye Research Foundation, Eye Clinic Orasis, Titlisstrasse, Reinach, Switzerland, General Hospital 16000, Leskovac Serbia
Chapter keywords

Abstract

A visual acuity of 0.32 or less would suggest that cataract surgery is indicated. The decrease may be due to the cataract, amblyopia or a combination of these. Children with a complete monocular congenital cataract should have surgery performed before 3 months of life. If cataracts involve both eyes, surgery should be performed on the eye with the denser opacity. Once this eye has recovered, cataract surgery should be performed on the fellow eye. Once a decision has been made to perform cataract surgery, the next consideration is selection of the method of optical rehabilitation that will be used. The procedure is of two types, cataract surgery, without placement of an intraocular lens and cataract surgery with lens implantation. The technique used to implant an IOL is a modification of the procedure used to remove a cataract without an IOL. Early identification and prompt surgical treatment of pediatric cataracts followed by prescription of accurate optical correction and amblyopia treatment will ensure the best visual result. Results that are reported now frequently yield visual acuities better than 0.5 and in some patients; high levels of binocular function are being reported.

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