Unilateral Congenital and Developmental Cataracts in Children in India

Gogate, Parikshit; Patil, Shailbala; Kulkarni, Anil N.; Sahasrabudhe, Mohini; Shah, Mitali; Mahadik, Ashok; Sane, Srivallabh; Bhasa, Divya

doi:10.1097/apo.0000000000000132

Cited by 5 publications

(2 citation statements)

References 17 publications

(26 reference statements)

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“…For this case, the treatment for congenital cataract was our focus. Phacoemulsification is the main strategy for the treatment of cataract [22, 23]. Whether the IOL implantation will be performed depends on the age and ocular condition of patient [18, 19].…”

Section: Discussionmentioning

confidence: 99%

Type II Peter’s anomaly with histopathological proof: a case report

Chang

Zhu

et al. 2017

BMC Ophthalmol

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BackgroundPeter’s anomaly is a rare congenital anterior segment dysgenesis with poor visual results. This case report describes a case of bilateral Type II Peter’s anomaly with notable clinical and histopathological features.Case presentationA 7-year-old boy was admitted to our center with complaints of bilateral central opacification, photophobia and severe reduced vision since birth. He underwent phacoemulsification, intraocular lens (IOL) implantation and anterior vitrectomy on the right eye in another medical institution two years ago. Slit lamp examination revealed bilateral central corneal opacity, few strands of peripheral iris, irregular pupils and cloudy lens with central adhesion to posterior corneal surface in the left eye. Additionally, a history of premature birth and mental retardation was also noted. The patient was diagnosed with Peter’s anomaly in the left eye, pseudophakia in the right eye and bilateral amblyopia. Similar surgery to the right one was performed on the left eye. A vesicle-like structure was found in the anterior chamber intraoperatively, which was composed mainly of immature lens and some corneal stroma as revealed by postoperative histopathological examinations.ConclusionsThe exact mechanism of Peter’s anomaly is not completely understood, however, the notable histopathological features of tissue obtained from the present case may provide evidence to the hypothesis of developmental anomalies.

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Section: Discussionmentioning

confidence: 99%

Type II Peter’s anomaly with histopathological proof: a case report

Chang

Zhu

et al. 2017

BMC Ophthalmol

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“…[ 54 ] The developmental cataract has a better prognosis than congenital cataract. [ 55 ] Homocystinuria can be managed using methionine-restricted diet. [ 56 ] Factors that may influence the surgical outcome adversely include presence of a unilateral cataract, presence of nystagmus, strabismus, or any ocular defects such as microphthalmos and PFV.…”

Section: Pediatric Cataract Classificationmentioning

confidence: 99%

Pediatric cataract

Khokhar

Pillay

Dhull

et al. 2017

Indian J Ophthalmol

104

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Pediatric cataract is a leading cause of childhood blindness. Untreated cataracts in children lead to tremendous social, economical, and emotional burden to the child, family, and society. Blindness related to pediatric cataract can be treated with early identification and appropriate management. Most cases are diagnosed on routine screening whereas some may be diagnosed after the parents have noticed leukocoria or strabismus. Etiology of pediatric cataract is varied and diagnosis of specific etiology aids in prognostication and effective management. Pediatric cataract surgery has evolved over years, and with improving knowledge of myopic shift and axial length growth, outcomes of these patients have become more predictable. Favorable outcomes depend not only on effective surgery, but also on meticulous postoperative care and visual rehabilitation. Hence, it is the combined effort of parents, surgeons, anesthesiologists, pediatricians, and optometrists that can make all the difference.

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