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Pediatric Cataract and Intraocular Lens Strategy

Age and growth factors in congenital cataract surgery

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Göz Hastalıkları department. Book Appointment →

What is Pediatric Cataract and Intraocular Lens Strategy?

Cataract in children may arise from congenital causes (TORCH infections, galactosemia, chromosomal anomalies) or be acquired (trauma, steroids, uveitis).

In bilateral dense cases, performing surgery within the first 6-8 weeks reduces the risk of dense amblyopia and supports visual cortex development.

In infants under 2 years, aphakic contact lenses and glasses are preferred, while IOL implantation is feasible in children over 2 years with carefully calculated hyperopic targeting.

Symptoms

Leukocoria (white pupillary reflex)
Nystagmus (eye oscillation)
Lack of visual fixation
Strabismus
Photophobia
Visual developmental delay

Risk Factors

Congenital infections (TORCH)
Family history
Chromosomal anomalies
Prematurity
Trauma
Galactosemia

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Newborn red reflex abnormality
  • When leukocoria is noted
  • Presence of nystagmus
  • Positive family history
  • Visual behavior abnormalities

Treatment Methods

01
Systemic and genetic evaluation
02
Early pars plana lensectomy
03
Posterior capsulotomy and anterior vitrectomy
04
Aphakic contact lens or IOL implantation
05
Amblyopia therapy with occlusion
06
Long-term refractive follow-up

Which Department to Visit?

You can visit our Göz Hastalıkları department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Göz Hastalıkları Department

Let us help you

You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.