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The first few months of life is a critical period of visual development. It becomes extremely important to treat cataract in early childhood. At this time the brain of the child starts to recognize and respond to the clear images.
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CataractInChildren Introduction Itisbelievedthatcataractonlyoccursinolderpeople.However,childrencanalsobe bornwithacataract&itmaydevelopgraduallywithage.Pediatriccataractisoneof theleading causeofchildhoodblindness.Cataractwillcauseasocialandeconomical burdenonthechildandfamilyifleftuntreated. Incataract,thelensoftheeyebecomesopaqueandcausescloudyvision.Thelensis situatedbehindthepupil.Thepupilisadark circlepresentinthecentreof theeye. Thenaturallensallowsthelighttopassthroughitandgetfocusedontheretina,a tissuepresentatthebackoftheeye. WhatIsACataract? Acataractisaconditioninwhichthelensoftheeyebecomescloudy.Thelensofthe eyefocusestheimageontotheretina.Thenthebraingetstheimagethroughthe retina.Cataractinterruptsthelightfrom reachingtotheretina.Italsoscattersthelight andmakestheimagedistortedresultinginblurredvision. CanChildrenHaveCataract? Yes,cataractalsodevelopsatayoungageandisknownaschildhoodcataract. Childhoodcataractmay becongenitalordevelopmental.A congenitalcataract ispresentfrombirthwhereasdevelopmentalcataractsarediagnosedinolder babiesanddevelopinlaterage.
WhatAreThe SymptomsOfCataractIn Children? • Babiesataveryyoungagewillnotabletocomplainaboutthesymptomsof cataract.However,ifyourchildisoldenough,hemay complaintoyouabout thefollowingvisualsymptoms • Blurredvision • Cloudyvision • Reducedvision • Doublevision • Lightsensitivity • Colours appear faded • One MaynoticeWhiteorgreyspoton the pupil • WhatAreTheCauses Of CataractInChildren? • Theremightbemanyreasonsforthedevelopment ofcataractinchildren.Some ofthemareasfollows • Heredity • CongenitalcataractcausedbychromosomalproblemssuchasDownssyndrome • Diabetes • Trauma • Inflammation • Drugreactions • Metabolicproblemse.ggalactosaemia,galactokinase deficiency • Useof antibiotics duringpregnancy • Certaininfectionsduringpregnancy suchasrubella,herpessimplex, cytomegalovirus,herpeszoster,syphilis • HowCataractAffectsAChild’s Vision? • Cataractcan affectone orboth eyesofchildren. • The opacitybecomesbiggerovertimedue tocataract.Itcausesblurryandmisty visionand eventuallyblindness. • Cataractalsocancausewobblingeyesandsquinteye
HowDoesThe EyeDoctorDiagnoseCataract? • Mostofthe timecataracts arediagnosedjustafter birth. • Cataract are also diagnosed duringroutine eye examinations. • Somecataractsremainunnoticedforyearssuchascongenitalcataracts. • Itcanbediagnosedbyparentswhentheynoticetheirchildren havingdifficulty to focusin brightlights. • What AreTheTreatment OptionsFor Cataract InChildren? • Removalofthecloudylensistheonlyway togetrid ofcataract.The cataractouslenscanberemovedby surgery.Theeyedoctor willreplacethe cataractouslenswithanartificiallens. • During this procedure doctor will have to give the child general anaesthesia. Then through a small incision the lens is liquified through special equipment andinstrumentlikephacoprobeandsuckedout oftheeye. • Yourchildmayrequirecontactlensesandeyeglassesafterthesurgeryif operationneedstobedoneininfancyorbelow18monthsofage.Ifdoneafter 18-24months,an intraocularlenscan beimplantedafterremoving thecataract. WhenTheCataractSurgeryShouldBe PerformedInChildren? Ifacataractdoesn’taffectyourchild’svisionthereisnoneedfor any surgery. However,surgeryisrequiredwhenacataractwillinterruptthenormalsightand developmentofyourchild. Itisrecommendedtoremovetheaffectedlensassoonaspossible.Affected cataractouslensmay requiretoexchangewith anartificiallensduringsurgery.
WhatIsTheFinalResultOfTreatmentAnd Surgery ForCataractInChildren? Childhoodcataractisararecondition.Thepredictionof improvementina child’svisionaftertreatmentisdifficult.Manychildrenexperienceproblemsin theaffectedeyeevenafterthetreatment.However,mostofthechildrenwillnot faceanyvision-relatedproblems.Theycangotoschoolandliveanormallife. Meanwhile,cataractsurgeryisusually successful butsomechildrenmay experiencesomecomplicationssuchaslazyeyewhichwouldneedfurther treatment. Conclusion Thefirstfewmonthsof lifeisacriticalperiodofvisualdevelopment.It becomesextremelyimportanttotreatcataractinearlychildhood.Atthistime thebrainof thechildstartstorecognizeandrespondtotheclearimages.Ifthe visionofachildisblurryordistortedthebrainwillacknowledgeabnormal visual signals which will affect normal visual development.So appropriate treatmentofcataractinearlychildhoodisrequired.Itcangivebetterresultsand improvethechild’sfuturevision.