A Synopsis of Cataract Surgery in Children

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Cataract surgery in children is following in the footsteps of that in adults in its use of wound construction, microsurgical instrumentation, intraocular viscoelastics, capsule and lens removal, and placement of intraocular lenses. Unique features of the child’s eye have resulted in variations and, at times, completely different techniques from adults. Challenges remain in the pediatric population and include anatomical differences, timing of surgery, how to avoid and/or treat amblyopia, management of secondary visual axis opacification, and how to maintain visual stability and determine the model and power of the intraocular lens. This synopsis focuses on a surgical technique indicated in children older than 2 years for the treatment of uncomplicated cataracts.

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