Zaćma dziecięca
Charakterystyka, pielęgnacja i opieka

Zaćma dziecięca, obejmująca formy wrodzone, rozwojowe i młodzieńcze, charakteryzuje się zmętnieniem soczewki prowadzącym do upośledzenia widzenia i stanowi 5-20% przyczyn ślepoty u dzieci. Występuje z częstością 3-4 na 10,000 żywych urodzeń rocznie, może być jednostronna lub obustronna, a jej progresja grozi rozwojem amblyopii i trwałą utratą widzenia. Wczesne wykrycie, m.in. poprzez ocenę odruchu czerwonego w okresie noworodkowym i wczesnych tygodniach życia, jest kluczowe dla zapobiegania nieodwracalnym uszkodzeniom połączeń nerwowych między okiem a mózgiem. Objawy kliniczne obejmują białą źrenicę, zez, oczopląs, mętne widzenie, nadwrażliwość na światło oraz kompensacyjne zachowania, takie jak mrużenie oczu czy przechylanie głowy.

Charakterystyka zaćmy dziecięcej

Zaćma dziecięca, określana także jako zaćma wrodzona, rozwojowa, niemowlęca lub młodzieńcza, jest schorzeniem charakteryzującym się zmętnieniem soczewki oka, co prowadzi do upośledzenia widzenia12. Jest to stosunkowo rzadkie schorzenie, występujące u około 3-4 na 10,000 żywych urodzeń rocznie, stanowiąc 5-20% przyczyn ślepoty u dzieci na całym świecie34. Zaćma dziecięca może dotyczyć jednego oka (jednostronna) lub obu oczu (obustronna)5.

Zmętniałe obszary na soczewce mogą czasami powiększać się, a także mogą pojawiać się nowe, co prowadzi do stopniowego pogarszania się widzenia dziecka6. Zaćma tworzy się, gdy białka w oku tworzą mętne obszary na soczewce, co powoduje, że widzenie dziecka staje się zamglone i niewyraźne7. Niektóre zaćmy są małe i nie wpływają na widzenie, podczas gdy inne, bardziej postępujące, mogą powodować znaczące problemy ze wzrokiem u dzieci8.

Wpływ zaćmy na rozwój wzroku dziecka

Zaćma dziecięca może mieć poważny wpływ na rozwój widzenia. Oczy i mózg dziecka wciąż uczą się widzieć, dlatego zaburzenia widzenia mogą prowadzić do powstania „leniwego oka” (amblyopii)9. Bez leczenia zaćma może uszkodzić połączenia między mózgiem a okiem. Gdy te połączenia zostaną już utworzone, nie zmieniają się, dlatego wczesne wykrycie i leczenie zaćmy jest tak ważne – może zapobiec trwałej utracie wzroku u dzieci10.

Gdy u dziecka występuje zaćma, jego oczy wysyłają do mózgu niewyraźne obrazy, których mózg nie może przetworzyć. Jeśli dzieje się tak przez długi czas od urodzenia, mózg w końcu zignoruje wszystkie informacje wizualne i dziecko straci wzrok11. Dzieci urodzone z gęstą zaćmą będą potrzebowały jak najszybszego chirurgicznego usunięcia zaćmy. Jeśli zaćma nie zostanie usunięta, może blokować przedostawanie się światła do siatkówki (tylnej części oka) i uniemożliwiać siatkówce wysyłanie informacji wizualnych do mózgu. Jeśli to nastąpi podczas rozwoju widzenia, mózg może nigdy nie nauczyć się widzieć, nawet po usunięciu zaćmy12.

Szczególnie ważne jest szybkie wykrycie zaćmy u dzieci, ponieważ wczesne leczenie może zmniejszyć ryzyko długotrwałych problemów z widzeniem13. Jeśli zaćma wpływa na widzenie dziecka, może spowolnić lub zatrzymać normalny rozwój jego wzroku, co może prowadzić do trwałego „leniwego oka” i nawet ślepoty w ciężkich przypadkach1415.

Diagnoza i ocena zaćmy dziecięcej

Okulista dziecięcy powinien być skonsultowany natychmiast, jeśli istnieje obawa o problemy z widzeniem lub zaćmę u dziecka16. Dzieci urodzone z zaćmą są zazwyczaj kierowane do okulisty dziecięcego po wykryciu przez pediatrę w pierwszych dniach lub tygodniach życia17.

W diagnozie zaćmy dziecięcej istotna jest ocena odruchu czerwonego. Jest to badanie, które powinno być wykonywane w okresie noworodkowym, a także podczas kolejnych wizyt w gabinecie pediatrycznym w celu wczesnego wykrycia zaćmy wrodzonej18. Niemowlęta są badane pod kątem zaćmy przy urodzeniu i sprawdzane ponownie w wieku około 6-8 tygodni19.

Podczas diagnozy zaćmy dziecięcej należy dokonać kompleksowej oceny okulistycznej i ogólnoustrojowej, uwzględniając wiek wystąpienia, morfologię i lateralność zaćmy20. W niektórych przypadkach wskazana może być również ocena genetyczna21.

Objawy zaćmy dziecięcej

Zaćma dziecięca może być trudna do wykrycia u niemowląt i małych dzieci. Objawy mogą się różnić u każdego dziecka i mogą obejmować:

  • Źrenica, która wygląda na białą podczas oświetlania latarką22
  • Oczy, które nie są we właściwej pozycji (nieprawidłowo ustawione)23
  • Rytmiczne ruchy oczu, które nie mogą być kontrolowane (oczopląs)24
  • Mętne lub niewyraźne widzenie25
  • Problemy z widzeniem26
  • Światła, które wydają się zbyt jasne lub mają poświatę27
  • Widzenie okręgu światła wokół obiektu (halo)28
  • Nadmierne mruganie i pocieranie oczu29
  • Mrużenie oczu, zakrywanie jednego oka, przechylanie głowy lub zbliżanie się do przedmiotów30

Leczenie zaćmy dziecięcej

Celem leczenia zaćmy u dzieci jest maksymalizacja i optymalizacja widzenia oraz rozwoju wzrokowego dziecka31. Decyzja o leczeniu chirurgicznym zaćmy będzie zależała w dużej mierze od tego, czy zaćma wpływa na widzenie dziecka32.

Jeśli zaćma nie ma istotnego wpływu na widzenie dziecka, lekarz może zalecić jedynie okresową obserwację, aby upewnić się, że oko nadal rozwija się prawidłowo3334. W niektórych przypadkach dziecko może potrzebować okularów lub soczewek kontaktowych, co pomoże mu lepiej widzieć35.

Leczenie chirurgiczne zaćmy dziecięcej

Jeśli zaćma wpływa na widzenie dziecka, zazwyczaj konieczne będzie chirurgiczne usunięcie zmętniałej soczewki (lub soczewek), po którym następuje długotrwałe stosowanie okularów lub soczewek kontaktowych36. Operacja jest podstawową metodą leczenia zaćmy dziecięcej37. Zaćma wrodzona jest często leczona chirurgicznie w ciągu 6-8 tygodni po urodzeniu38.

Dla optymalnego rozwoju wzroku u noworodków, jednostronna zaćma wrodzona powinna zostać usunięta przed ukończeniem 6 tygodnia życia, a obustronna zaćma wrodzona przed ukończeniem 10 tygodnia życia3940. Zabieg chirurgiczny u niemowląt jest zalecany bardzo wcześnie w życiu, aby promować zdrowy rozwój wzrokowy41.

Operacja zaćmy u niemowląt i dzieci odbędzie się w szpitalu pod znieczuleniem ogólnym, co oznacza, że dziecko będzie nieprzytomne podczas operacji42. Zazwyczaj jest to zabieg ambulatoryjny, co oznacza, że będziesz mógł zabrać dziecko do domu po operacji i prawdopodobnie nie będziesz musiał pozostawać w szpitalu na noc43.

Procedura chirurgiczna polega na usunięciu zaćmy przez małe nacięcie wykonane w oku. Następnie wykonuje się otwarcie w przedniej części torebki soczewki (woreczka zawierającego soczewkę). Bardzo miękka wewnętrzna część soczewki jest usuwana z tej torebki. Młodsze dzieci mogą wymagać drugiego otwarcia w tylnej części torebki soczewki, aby umożliwić usunięcie części ciała szklistego, które znajduje się za soczewką44.

W niektórych przypadkach podczas operacji może zostać wszczepiona sztuczna soczewka wewnątrzgałkowa (IOL), która zastępuje naturalną soczewkę45. Zazwyczaj ma to miejsce u dzieci powyżej 12 miesiąca życia46. W przypadku niemowląt i małych dzieci większość okulistów zaleca stosowanie soczewek kontaktowych lub okularów po operacji47.

Opieka pooperacyjna

Po operacji na oko dziecka zostanie nałożony opatrunek lub przezroczysta osłona, aby je chronić48. Oko (oczy) dziecka mogą wyglądać na zaczerwienione, a źrenica może wydawać się powiększona. Dziecko może być wrażliwe na jasne światło. Jednak ogólnie rzecz biorąc, dziecko powinno czuć się komfortowo i spontanicznie otwierać oko49.

W przypadku młodszych dzieci, normalnie jest, jeśli występuje pewien dyskomfort, niewyraźne widzenie i wrażliwość na światło zaraz po operacji50. Dziecko będzie musiało ograniczyć swoją aktywność przez około 1-2 tygodnie po operacji, aby zapewnić normalne gojenie i zminimalizować ryzyko infekcji. Ograniczenia te obejmują unikanie basenów, jacuzzi i sportów51.

Ważne jest, aby podawać leki zgodnie z zaleceniami. Pielęgniarki pokażą jak zakraplać krople do oczu dziecka przed wypisaniem ze szpitala52. W zależności od rodzaju zabiegu, krople będą podawane z różną częstotliwością, nawet co godzinę (w czasie czuwania)53.

Po operacji większość dzieci będzie potrzebowała okularów lub soczewek kontaktowych54. Zastąpienie mocy skupiającej soczewki zaćmowej jest równie ważne jak operacja jej usunięcia55. Sztuczna soczewka wewnątrzgałkowa lub soczewka kontaktowa używana do zastąpienia naturalnej soczewki dziecka ma stałą ostrość, co oznacza, że nie może zmieniać kształtu, aby ostrość była wyraźna zarówno z bliska, jak i z daleka, jak może to robić naturalna soczewka oka56.

Terapia okluzja i rehabilitacja wzrokowa

W przypadku prawie wszystkich przypadków jednostronnej zaćmy (gdy dotknięte jest 1 oko) i jeśli dziecko z obustronną zaćmą ma słabsze widzenie w 1 oku, optometrysta może zalecić noszenie tymczasowego plastra na silniejszym oku. Jest to znane jako terapia okluzją57.

Dzieci z zaćmą mogą potrzebować terapii okluzją, jeśli rozwiną amblyopię, czyli „leniwe oko”58. Terapia okluzją jest ważnym elementem leczenia w zarządzaniu zaćmą dziecięcej. Dobry wynik wzrokowy jest w dużym stopniu uzależniony od przestrzegania leczenia amblyopii59.

Dzieci z zaćmą mogą potrzebować terapii okluzją aż do pełnego rozwoju ich oczu, co następuje około 8-10 roku życia60. Bez leczenia większość dzieci z jednostronną zaćmą nie będzie w stanie rozwinąć dobrego widzenia w operowanym oku61.

Dzieci i osoby z problemami wzrokowymi mogą również potrzebować orientacji i treningu mobilności (OM) jako części usług wczesnej interwencji. Trening OM pomaga dzieciom wykorzystywać inne zmysły do poznawania swojego otoczenia i uczenia się, jak bezpiecznie się poruszać62.

Rola pielęgniarki w opiece nad dzieckiem z zaćmą

Pielęgniarstwo odgrywa kluczową rolę w opiece nad dziećmi z zaćmą, obejmując zarówno etap diagnostyczny, jak i leczenie oraz rekonwalescencję. Opieka pielęgniarska koncentruje się na edukacji pacjenta przed i po operacji oraz zapewnieniu bezpieczeństwa63.

Ocena i monitorowanie pielęgniarskie

Priorytety pielęgniarskie dla pacjentów z zaćmą obejmują:

  • Ocenę i rozpoznanie zaćmy64
  • Edukację pacjentów na temat zaćmy65
  • Monitorowanie ostrości wzroku i ograniczeń66
  • Zapewnienie wsparcia dla optymalizacji funkcji wzrokowej67
  • Koordynację skierowań do oceny chirurgicznej68

Pielęgniarka powinna monitorować:

  • Ostrość wzroku69
  • Zaczerwienienie oka70
  • Ból oka71

Edukacja pacjenta i rodziny

Pielęgniarka powinna zapewnić edukację pacjentom i ich rodzinom na temat:

  • Czynników ryzyka choroby72
  • Powikłań choroby73
  • Opcji leczenia choroby74
  • Powikłań operacji75
  • Regularnej potrzeby kontroli76

Aby pomóc dziecku po operacji zaćmy, rodzice powinni:

  • Zabierać dziecko na wszystkie kontrole pediatryczne i wizyty u okulisty77
  • W przypadku leczenia soczewkami kontaktowymi: przestrzegać harmonogramu czyszczenia i noszenia78
  • W przypadku leków (w tym kropli do oczu): podawać je na czas, za każdym razem79
  • W przypadku okularów: zachęcać dziecko do noszenia ich zgodnie z zaleceniami80

Planowanie wypisu i zalecenia dla rodziców

Planowanie wypisu powinno obejmować zalecenia dla rodzin dotyczące:

  • Noszenia okularów przeciwsłonecznych podczas wychodzenia na zewnątrz81
  • Noszenia ochronnej osłony na oczy, takiej jak osłona twarzy, podczas pracy z niebezpiecznymi płynami i uprawiania sportów82
  • Regularnych badań oczu83
  • Przestrzegania zaleceń dotyczących leków84

Istotne jest również, aby pielęgniarka poinformowała rodziców o ograniczeniach aktywności po operacji, takich jak:

  • Unikanie ciężkiego podnoszenia, intensywnej zabawy lub sportów wysokiej prędkości, takich jak jazda na rowerze, przez 6 tygodni, w zależności od dokładnego typu operacji85
  • Unikanie basenów przez 2 tygodnie86
  • Mycie włosów, kąpiel i prysznic są dozwolone, ale należy unikać dostawania wody do oka87

Po operacji dziecko otrzyma osłonę do ochrony oka przed przypadkowymi urazami; ogólnie rzecz biorąc, jest ona umieszczana na oku przez kilka dni lub tygodni po operacji88.

Długoterminowa opieka i kontrola

Długoterminowa kontrola jest ważna po operacji zaćmy u dzieci89. Wszystkie dzieci, u których usunięto zaćmę, wymagają długoterminowej kontroli90. Regularne wizyty u okulisty dziecięcego są ważne, aby monitorować wszelkie problemy i pomóc w prawidłowym rozwoju widzenia dziecka91.

Wymagane są częste wizyty w celu monitorowania i maksymalizacji rozwoju wzrokowego oraz sprawdzania pod kątem częstych powikłań, takich jak amblyopia lub podwyższone ciśnienie w oku (jaskra)92. Okulista będzie bardzo dokładnie monitorował oko dziecka po operacji, sprawdzając zdrowie oka (oczu), ciśnienie w oku, moc skupiającą oka, a także widzenie93.

Regularne badania okulistyczne są niezbędne do oceny ostrości wzroku, monitorowania wszelkich powikłań i dostosowania leczenia w razie potrzeby94. Dzieci z zaćmą wrodzoną, które nie są istotne wizualnie, również powinny być monitorowane, aby upewnić się, że zaćma nie postępuje i nie staje się istotna wizualnie95.

Dzieci, których zaćma została zdiagnozowana i leczona niezwłocznie, mają doskonałą szansę na dorastanie bez znacznego upośledzenia widzenia96. Długoterminowa opieka obejmuje monitorowanie rozwoju widzenia dziecka (np. za pomocą okularów, soczewek kontaktowych, plastrowania w razie potrzeby), innych problemów, takich jak podwyższone ciśnienie w oku, zmętnienie torebki tylnej (mętny film za implantem soczewki po operacji, który może powodować niewyraźne widzenie) i odwarstwienie siatkówki97.

Interdyscyplinarne podejście do opieki

Diagnoza i leczenie zaćmy wymagają interdyscyplinarnego podejścia zespołowego, obejmującego lekarzy podstawowej opieki zdrowotnej (lekarzy, PA, NP), specjalistów (okulistów, chirurgów okulistycznych) i wsparcia pielęgniarskiego. To podejście pomaga zapewnić terminową i skuteczną opiekę nad pacjentem oraz optymalne wyniki98.

Sukces każdego programu polega na zrozumieniu przebiegu choroby, jej postrzegania w społeczności oraz barier opóźniających poszukiwanie leczenia99. Dla dziecka z wieloma niepełnosprawnościami potrzebne jest podejście multidyscyplinarne100.

Zespołowa praca jest niezbędna w zarządzaniu zaćmą dziecięcą101. Wszechstronny zespół obejmujący rodziców, pediatrę, okulistów i specjalistów rehabilitacji osób słabowidzących powinien być zaangażowany w opiekę nad dzieckiem, aby zapewnić najlepsze wyniki102.

Powikłania i ich monitorowanie

Operacja zaćmy jest generalnie skuteczna, z niskim ryzykiem poważnych powikłań103. Jednakże niektóre z możliwych powikłań operacji zaćmy mogą wpłynąć na wzrok dziecka, ale często można je leczyć lekami lub dalszą operacją104.

Znanym powikłaniem tej operacji jest jaskra bezsoczewkowa (aphakic glaucoma)105. Inne możliwe powikłania to:

  • Infekcja106
  • Utrata widzenia107
  • Odwarstwienie siatkówki108
  • Rozwój jaskry109
  • Zmętnienie torebki tylnej (mętny film za implantem soczewki po operacji, który może powodować niewyraźne widzenie)110

Zaćma może powrócić po operacji, szczególnie u bardzo małych dzieci. Jednak jeśli zregenerowany materiał soczewki nie blokuje drogi wzrokowej, można go obserwować przy ścisłej kontroli111.

Regularne badania okulistyczne są niezbędne do wczesnego wykrycia nawracającej zaćmy i zapobiegania długoterminowym stanom ryzyka, takim jak jaskra112. Wykrywanie zaćmy u dzieci jest kluczowe, ponieważ wczesne leczenie może obniżyć ryzyko wystąpienia u dziecka innych problemów z widzeniem113.

Prognozy i wyniki leczenia

Przy odpowiednim leczeniu większość dzieci z zaćmą będzie mogła prowadzić normalny, zdrowy tryb życia114. Z właściwym leczeniem zaćma u dzieci, która wpływa na widzenie, może być w pełni odwrócona115.

Dwustronne stany zaćmy wykryte w rozsądnym wieku mają tendencję do doskonałych wyników. Pod warunkiem, że powikłania takie jak jaskra nie przerywają postępu, nie są rzadkie wyniki w postaci widzenia umożliwiającego prowadzenie pojazdu, a nawet widzenia 20/20 w obu oczach116.

W przypadku zaćmy jednostronnej wyniki również mogą być dobre. Jednakże ze względu na poważną asymetrię optyczną między oczami, rozwój widzenia w oku z zaćmą może nadal napotykać trudności117.

Wyniki są maksymalizowane przez idealną korekcję optyczną za pomocą soczewek kontaktowych, implantu wewnątrzgałkowego i okularów oraz sukcesy rodziny w przestrzeganiu plastrowania118. Dzieci, które otrzymują terminowe leczenie i kontrolę, mają dobre rokowania, ale mogą potrzebować lat rehabilitacji wzrokowej, aby osiągnąć sukces119.

Ogólna prognoza leczenia jest dość dobra. Zaćma dziecięca, jeśli jest leczona na czas, nie stanowi problemu dla dobrego wzroku w latach dorosłych. Chirurgiczna interwencja we właściwym czasie może uchronić wzrok dziecka przed dalszym pogarszaniem się120.

Kolejne rozdziały

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  1. 11.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1
    https://www.nhs.uk/conditions/childhood-cataracts/
    Childhood cataracts are often referred to as: congenital cataracts cataracts present when a baby is born or shortly afterwards […] developmental, infantile or juvenile cataracts cataracts diagnosed in older babies or children. […] In children, cataracts can affect 1 or both eyes. […] Cloudy patches in the lens can sometimes get bigger and more can develop, resulting in the child’s vision becoming increasingly affected. […] It’s particularly important to spot cataracts in children quickly because early treatment can reduce the risk of long-term vision problems. […] Cataracts in children are often not too bad and have little or no effect on their vision. […] But if cataracts are affecting your child’s vision, they can slow down or stop their normal sight development. […] In these cases, surgery to remove the affected lens (or lenses) will usually be recommended as soon as possible. […] Replacing the focusing power of the lens is as important as the surgery to remove it.
  • #2 Childhood Cataracts – Aravind Eye Care System
    https://aravind.org/diseases/childhood-cataracts/
    Cataract surgery is the only treatment for cataracts. The earlier the surgery, the better the outcome. The paediatric ophthalmologist will remove the cloudy lens. During surgery, your child will be under general anaesthesia, meaning your child will be sedated so they dont feel pain. The surgery is very quick and safe. In most cases, it can restore clear vision. […] The child should come regularly for eye checkups. Your doctor will tell you how often you need to come. Your child should stay in the hospital for 2-3 days to make sure the eye is healing well. Your child should avoid all outdoor activities for 4-6 weeks. This is to reduce the risk of injection. All children will require glasses for the best results (regardless of the type of surgery). […] Yes. Parents should make sure that the child always wears the glasses. This is important to make sure that the eyes develop properly. Choose a pair of spectacles that your child is comfortable using.
  • #3 Infantile Cataracts are a Blind Spot
    https://health.ucsd.edu/news/press-releases/2021-12-08-infantile-cataracts-are-a-blind-spot/
    People can be born with cataracts. They can form them at any point in life. The clouding of the lens is not just an artifact of advancing age. According to the American Academy of Ophthalmology, the incidence of infantile cataracts is 3 to 4 per 10,000 live births per year. They account for 5 to 20 percent of childhood blindness worldwide. […] One of the things we always worry about is cancer, said Rudell, explaining that retinoblastoma can sometimes look like a congenital cataract but, if discovered, could require radiation, chemotherapy and possibly even removing the eye to treat. […] No matter their cause, treating cataracts is also much more urgent for infants than adults because the brain starts shutting off vision from an underperforming eye immediately after birth. […] There is a very small window of time when we can operate, which is four to six weeks, to have a chance at saving any vision in the eye, said Rudell, who regularly performs these operations, because, from day one, the brain favors the eye without the cataract.
  • #4 Cataracts in Children Detroit Michigan | Pediatric Cataracts MI
    https://www.pediatriceyedoctorsmichigan.com/pediatric-eye-care/cataracts/
    Cataracts are a leading cause of treatable childhood blindness and affect up to 15 of every 10,000 babies worldwide. […] It is important to seek care from a qualified pediatric ophthalmologist. […] It is important to have your child examined by a pediatric ophthalmologist if they have any eye problems or if congenital cataracts run in your family. […] Surgery is the primary treatment for juvenile cataracts. Congenital cataracts are often treated with surgery 6 to 8 weeks after birth. […] Prompt diagnosis and treatment are very important for proper eye development. […] After cataract surgery, your child will need follow-up care and they may need corrective lenses to ensure their eye health and proper vision development.
  • #5
    https://www.nhs.uk/conditions/childhood-cataracts/
    Childhood cataracts are often referred to as: congenital cataracts cataracts present when a baby is born or shortly afterwards […] developmental, infantile or juvenile cataracts cataracts diagnosed in older babies or children. […] In children, cataracts can affect 1 or both eyes. […] Cloudy patches in the lens can sometimes get bigger and more can develop, resulting in the child’s vision becoming increasingly affected. […] It’s particularly important to spot cataracts in children quickly because early treatment can reduce the risk of long-term vision problems. […] Cataracts in children are often not too bad and have little or no effect on their vision. […] But if cataracts are affecting your child’s vision, they can slow down or stop their normal sight development. […] In these cases, surgery to remove the affected lens (or lenses) will usually be recommended as soon as possible. […] Replacing the focusing power of the lens is as important as the surgery to remove it.
  • #6
    https://www.nhs.uk/conditions/childhood-cataracts/
    Childhood cataracts are often referred to as: congenital cataracts cataracts present when a baby is born or shortly afterwards […] developmental, infantile or juvenile cataracts cataracts diagnosed in older babies or children. […] In children, cataracts can affect 1 or both eyes. […] Cloudy patches in the lens can sometimes get bigger and more can develop, resulting in the child’s vision becoming increasingly affected. […] It’s particularly important to spot cataracts in children quickly because early treatment can reduce the risk of long-term vision problems. […] Cataracts in children are often not too bad and have little or no effect on their vision. […] But if cataracts are affecting your child’s vision, they can slow down or stop their normal sight development. […] In these cases, surgery to remove the affected lens (or lenses) will usually be recommended as soon as possible. […] Replacing the focusing power of the lens is as important as the surgery to remove it.
  • #7
    https://www.sightsaversusa.org/eye-conditions/cataracts/childhood-cataracts/
    Cataracts are one of the leading causes of visual impairment and blindness in children. […] A cataract forms when proteins in the eye create cloudy patches on the lens. When this happens, a childs vision can be misty and blurry. […] It is vital that children with both types are assessed and treated quickly to prevent permanent vision loss. […] If a child develops lazy eye due to cataracts, its very difficult to correct the condition after eight years old, because the eye has already finished developing by that age. […] When a child has cataracts, their eyes will send blurred images to the brain that it cant process. If this happens over a long period of time from birth, the brain will eventually ignore all visual information and the child will lose their sight. […] An operation to treat cataracts can take as little as 20 minutes, and a persons vision can start to return a few hours after surgery.
  • #8 Pediatric Cataracts – Conditions and Treatments | Children’s National Hospital
    https://childrensnational.org/visit/conditions-and-treatments/eye-conditions/cataracts
    Cataracts are rare in children. They can affect one eye (unilateral) or both eyes (bilateral). […] Some cataracts are small and don’t cause any trouble with vision. Other more progressive cataracts can cause visual problems in children. […] Congenital cataracts. Some babies are born with cataracts or get them in childhood. These often happen in both eyes. This type of cataract may not affect your child’s vision. Those that do affect vision often need to be removed. […] Most cataracts in children happen along with other eye or health problems. This type of cataract may be from genetic factors. These can include a metabolic disorder caused by an inherited enzyme deficiency. Cataracts can also happen because of a chromosome problem, such as Down syndrome. […] Symptoms can be a bit different for each child. They can include: A pupil that looks white when a flashlight is shined into it, Eyes that aren’t in the right position (misaligned), Rhythmic eye movements that can’t be controlled (nystagmus). The eyes may go back and forth, up and down, around, or mixed, Cloudy or blurry vision, Trouble seeing, Lights that look too bright or have a glare, Seeing a circle of light around an object (halo).
  • #9
    https://www.aao.org/eye-health/diseases/what-are-pediatric-cataracts
    Many times the cause of cataracts in a child is not known. […] Children’s eyes and brain are still learning to see. This is why distortion can lead to lazy eye in children. Without treatment, cataracts can damage connections between the brain and eye. Once made, these connections don’t change. This is why finding and treating cataracts early is so important. It can prevent permanent vision loss in children. […] Treatment depends on the type, whether in one or both eyes, and severity of the cataracts. But most children need surgery to remove them. Unlike adults with full-sized eyes, children need special surgical instruments and techniques. When performed by an experienced surgeon, cataract removal is generally safe. […] For most children, surgery is just the first step to fix the eyes. Ongoing treatment must help repair eye-brain connections. This involves having the proper refractive correction to focus clear images on the retina.
  • #10
    https://www.aao.org/eye-health/diseases/what-are-pediatric-cataracts
    Many times the cause of cataracts in a child is not known. […] Children’s eyes and brain are still learning to see. This is why distortion can lead to lazy eye in children. Without treatment, cataracts can damage connections between the brain and eye. Once made, these connections don’t change. This is why finding and treating cataracts early is so important. It can prevent permanent vision loss in children. […] Treatment depends on the type, whether in one or both eyes, and severity of the cataracts. But most children need surgery to remove them. Unlike adults with full-sized eyes, children need special surgical instruments and techniques. When performed by an experienced surgeon, cataract removal is generally safe. […] For most children, surgery is just the first step to fix the eyes. Ongoing treatment must help repair eye-brain connections. This involves having the proper refractive correction to focus clear images on the retina.
  • #11
    https://www.sightsaversusa.org/eye-conditions/cataracts/childhood-cataracts/
    Cataracts are one of the leading causes of visual impairment and blindness in children. […] A cataract forms when proteins in the eye create cloudy patches on the lens. When this happens, a childs vision can be misty and blurry. […] It is vital that children with both types are assessed and treated quickly to prevent permanent vision loss. […] If a child develops lazy eye due to cataracts, its very difficult to correct the condition after eight years old, because the eye has already finished developing by that age. […] When a child has cataracts, their eyes will send blurred images to the brain that it cant process. If this happens over a long period of time from birth, the brain will eventually ignore all visual information and the child will lose their sight. […] An operation to treat cataracts can take as little as 20 minutes, and a persons vision can start to return a few hours after surgery.
  • #12 Cataracts | Boston Children’s Hospital
    https://www.childrenshospital.org/conditions/cataracts
    Although cataracts are most common in older people, they can also affect newborns and children. […] Children born with a dense cataract will need surgery to remove it as soon as possible. If the cataract isn’t removed, it can block light from getting to the retina (the back of the eye) and prevent the retina from sending visual information to the brain. If this happens during the development of sight, the brain may never learn to see, even after the cataract is removed. […] Babies and children with cataracts need highly specialized care. Our Pediatric Cataract Service offers the expertise, child-modified equipment and advanced technology to diagnose and treat cataracts in even our tiniest patients. […] Our pediatric ophthalmologists are very experienced in treating kids with cataracts and have removed cataracts in newborn babies. Our team uses specialized tools and equipment, including customized software that predicts the growth of your child’s eye, allowing us to choose the best lens to serve your child through adulthood. Our team has successfully implanted intraocular lenses in babies as young as 1 month old.
  • #13
    https://www.nhs.uk/conditions/childhood-cataracts/
    Childhood cataracts are often referred to as: congenital cataracts cataracts present when a baby is born or shortly afterwards […] developmental, infantile or juvenile cataracts cataracts diagnosed in older babies or children. […] In children, cataracts can affect 1 or both eyes. […] Cloudy patches in the lens can sometimes get bigger and more can develop, resulting in the child’s vision becoming increasingly affected. […] It’s particularly important to spot cataracts in children quickly because early treatment can reduce the risk of long-term vision problems. […] Cataracts in children are often not too bad and have little or no effect on their vision. […] But if cataracts are affecting your child’s vision, they can slow down or stop their normal sight development. […] In these cases, surgery to remove the affected lens (or lenses) will usually be recommended as soon as possible. […] Replacing the focusing power of the lens is as important as the surgery to remove it.
  • #14
    https://www.nhs.uk/conditions/childhood-cataracts/
    Childhood cataracts are often referred to as: congenital cataracts cataracts present when a baby is born or shortly afterwards […] developmental, infantile or juvenile cataracts cataracts diagnosed in older babies or children. […] In children, cataracts can affect 1 or both eyes. […] Cloudy patches in the lens can sometimes get bigger and more can develop, resulting in the child’s vision becoming increasingly affected. […] It’s particularly important to spot cataracts in children quickly because early treatment can reduce the risk of long-term vision problems. […] Cataracts in children are often not too bad and have little or no effect on their vision. […] But if cataracts are affecting your child’s vision, they can slow down or stop their normal sight development. […] In these cases, surgery to remove the affected lens (or lenses) will usually be recommended as soon as possible. […] Replacing the focusing power of the lens is as important as the surgery to remove it.
  • #15
    https://www.nhs.uk/conditions/childhood-cataracts/
    The affected lens may sometimes be replaced with an artificial lens during surgery. […] But it’s more common for the child to wear contact lenses or glasses after surgery to compensate for the lens that was removed. […] Cataracts that affect vision that are not quickly treated can sometimes cause irreversible damage to eyesight, including a permanently lazy eye and even blindness in severe cases. […] Cataract surgery is generally successful, with a low risk of serious complications. […] Although some of the possible complications of cataract surgery can affect your child’s vision, they can often be treated with medicine or further surgery. […] It’s not usually possible to prevent cataracts, particularly those that are inherited (run in the family). […] But following the advice of your midwife or a GP to avoid infections during pregnancy (including making sure all your vaccinations are up to date before getting pregnant) may reduce the chances of your child being born with cataracts. […] If your child has had cataracts, your clinical team will pass information about him or her on to the National Congenital Anomaly and Rare Disease Registration Service (NCARDRS).
  • #16 Cataracts in Children | Children’s Hospital of Philadelphia
    https://www.chop.edu/conditions-diseases/cataracts-children
    A pediatric ophthalmologist should be seen immediately if there is concern for a vision issue or cataract in a child. […] The goal of cataract treatment in children is to: Maximize and optimize your child’s vision and visual development. […] Long-term follow-up is important after cataract surgery in children. […] Frequent visits are required to monitor and maximize visual development and check for common complications, such as amblyopia, or elevated pressure in the eye (glaucoma). […] After cataract surgery, most children require contact lenses or glasses to allow for a clear and focused image and to maximize their visual development. […] Cataracts can cause severe vision loss in children, but fortunately if treated promptly this can be fully averted. Treatment is often highly successful as long as children and families stick to the treatment plan. […] At Children’s Hospital of Philadelphia (CHOP), your child will be cared for by leaders in the field of pediatric ophthalmology clinical care, surgery and research.
  • #17 Cataracts Las Vegas | Pediatric Cataracts Nevada | Ideal EyeCare
    https://www.idealeyecarelv.com/pediatric-ophthalmologist-las-vegas/pediatric-cataracts/
    Cataracts may be present at birth (congenital). They can be visually obstructive at birth or insignificant at birth and worsen significantly during childhood. […] Congenital cataracts are usually diagnosed by the pediatrician during the first few days or weeks of life. Infants are typically referred to a pediatric ophthalmologist. […] Infants with congenital cataracts may develop profound amblyopia (lazy eye). In the case of a significant opacity, cataract surgery must usually be performed very soon if useful vision is to be obtained. […] Cataracts in children may adversely affect visual development particularly if a central opacity is greater than or equal to 3 mm in diameter. […] The potential for visual development spans the period from birth to approximately age nine. The younger the child, the more detrimental to visual development an obstructive cataract will be.
  • #18 Congenital Cataract Treatment & Management: Medical Care, Surgical Care, Consultations
    https://emedicine.medscape.com/article/1210837-treatment
    A known complication of this surgery is aphakic glaucoma. […] An ophthalmology consultation is essential to prevent visual loss as well as to make the appropriate diagnosis of congenital cataracts. […] Evaluation of the red reflex is essential not only in the newborn nursery, but also in subsequent pediatric office visits to identify and address the potential presence of a congenital cataract in a timely manner. […] After surgical management of visually significant cataracts, patients require lifelong follow up. […] Throughout childhood, frequent monitoring and management of refractive error, amblyopia, and possible glaucoma is necessary. […] Patients with congenital cataracts that are not visually significant also should be monitored to ensure that the cataracts do not progress to become visually significant.
  • #19 Congenital Cataract 2024 Guide | West Boca Eye Center
    https://www.westbocaeyecenter.com/post/congenital-cataract-2024-guide
    Congenital cataracts sometimes referred to as pediatric or infantile cataracts are estimated to be responsible for 5%-20% of childhood blindness across the world. They can affect either one or both eyes. Most congenital cataracts are picked up at birth or within the first six months of a child’s life. […] A congenital cataract disrupts this flow of light and, therefore, disrupts the evolution of the visual pathway. This doesn’t just affect how the child perceives the world around them it also impacts the development of hand-eye coordination. […] Babies are screened at birth for cataracts and checked again at around six to eight weeks. Your eye doctor will also check for cataracts when your child has their regular eye checks. […] In 2024, there are many treatment options. Cataracts that don’t interfere with the child’s vision won’t require surgery. They’ll be monitored by a specialist ophthalmologist and, if necessary, external visual aids will be prescribed. This might include wearing an eye patch to encourage the creation of those vital eye-brain connections.
  • #20
    https://journals.lww.com/pajo/fulltext/2024/08300/childhood_cataract_in_indian_subcontinent_.4.aspx
    Cataracts in children are one of the leading causes of visual impairment and if not treated timely have an impact on the neurobiological development of the child, leading to amblyopia. […] A comprehensive ocular, systemic examination, age of onset, morphology, and laterality of cataracts are essential factors to be considered during management. […] Innovations, technology, and expert surgical techniques have made surgery uneventful with good visual outcomes. […] Strategies for managing congenital cataracts must be adapted and developed according to regional conditions. […] A basic framework for acceptable outcomes must focus on developing systems to address the critical components of education, access, quality care, and good follow-up. […] The key to success lies in first, creating awareness among parents and the community; second, motivating them to undertake surgeries; third, training health workers and key informers on the importance of early detection and visual rehabilitation of childhood cataracts; fourth, establishing a robust referral system; fifth, developing well-equipped centers with skilled manpower that are also accessible.
  • #21 Congenital Cataracts & Pediatric Children’s Cataract NJ | The Eye Care & Surgery Center Westfield Warren
    https://newjerseyvision.com/congenital-childrens-cataracts-nj/
    A cataract is an opacification or clouding of the normal crystalline lens. Cataracts can occur at different ages in children. The diagnosis of a congenital cataract which is present at birth can be made on the first day of life if a red reflex is not obtained in the newborn nursery. Early diagnosis and referral are important since irreversible damage can occur if a congenital cataract is not treated in the first few months of life. […] A thorough ocular and systemic evaluation should be performed in any child who presents with a cataract. A genetic evaluation may be indicated in some cases as well. […] If the cataract is determined to be visually significant, surgery is indicated to remove the involved lens. Once the visual axis is cleared, the child will require optical correction to allow visual rehabilitation. This may include the use of glasses, a contact lens or an intraocular lens implant. […] Because of these factors a contact lens is sometimes used. These contact lenses should not be thought of as a substitute for glasses as they may be in adult patients. They are an absolute necessity for infants with cataracts or an older child with a unilateral cataract. […] Amblyopia is a major obstacle to the development of good vision in these children. Amblyopia therapy is an important issue in the management of childhood cataracts. A good visual outcome is highly dependent on the compliance with amblyopia treatment.
  • #22 Pediatric Cataracts – Conditions and Treatments | Children’s National Hospital
    https://childrensnational.org/visit/conditions-and-treatments/eye-conditions/cataracts
    Cataracts are rare in children. They can affect one eye (unilateral) or both eyes (bilateral). […] Some cataracts are small and don’t cause any trouble with vision. Other more progressive cataracts can cause visual problems in children. […] Congenital cataracts. Some babies are born with cataracts or get them in childhood. These often happen in both eyes. This type of cataract may not affect your child’s vision. Those that do affect vision often need to be removed. […] Most cataracts in children happen along with other eye or health problems. This type of cataract may be from genetic factors. These can include a metabolic disorder caused by an inherited enzyme deficiency. Cataracts can also happen because of a chromosome problem, such as Down syndrome. […] Symptoms can be a bit different for each child. They can include: A pupil that looks white when a flashlight is shined into it, Eyes that aren’t in the right position (misaligned), Rhythmic eye movements that can’t be controlled (nystagmus). The eyes may go back and forth, up and down, around, or mixed, Cloudy or blurry vision, Trouble seeing, Lights that look too bright or have a glare, Seeing a circle of light around an object (halo).
  • #23 Pediatric Cataracts – Conditions and Treatments | Children’s National Hospital
    https://childrensnational.org/visit/conditions-and-treatments/eye-conditions/cataracts
    Cataracts are rare in children. They can affect one eye (unilateral) or both eyes (bilateral). […] Some cataracts are small and don’t cause any trouble with vision. Other more progressive cataracts can cause visual problems in children. […] Congenital cataracts. Some babies are born with cataracts or get them in childhood. These often happen in both eyes. This type of cataract may not affect your child’s vision. Those that do affect vision often need to be removed. […] Most cataracts in children happen along with other eye or health problems. This type of cataract may be from genetic factors. These can include a metabolic disorder caused by an inherited enzyme deficiency. Cataracts can also happen because of a chromosome problem, such as Down syndrome. […] Symptoms can be a bit different for each child. They can include: A pupil that looks white when a flashlight is shined into it, Eyes that aren’t in the right position (misaligned), Rhythmic eye movements that can’t be controlled (nystagmus). The eyes may go back and forth, up and down, around, or mixed, Cloudy or blurry vision, Trouble seeing, Lights that look too bright or have a glare, Seeing a circle of light around an object (halo).
  • #24 Pediatric Cataracts – Conditions and Treatments | Children’s National Hospital
    https://childrensnational.org/visit/conditions-and-treatments/eye-conditions/cataracts
    Cataracts are rare in children. They can affect one eye (unilateral) or both eyes (bilateral). […] Some cataracts are small and don’t cause any trouble with vision. Other more progressive cataracts can cause visual problems in children. […] Congenital cataracts. Some babies are born with cataracts or get them in childhood. These often happen in both eyes. This type of cataract may not affect your child’s vision. Those that do affect vision often need to be removed. […] Most cataracts in children happen along with other eye or health problems. This type of cataract may be from genetic factors. These can include a metabolic disorder caused by an inherited enzyme deficiency. Cataracts can also happen because of a chromosome problem, such as Down syndrome. […] Symptoms can be a bit different for each child. They can include: A pupil that looks white when a flashlight is shined into it, Eyes that aren’t in the right position (misaligned), Rhythmic eye movements that can’t be controlled (nystagmus). The eyes may go back and forth, up and down, around, or mixed, Cloudy or blurry vision, Trouble seeing, Lights that look too bright or have a glare, Seeing a circle of light around an object (halo).
  • #25 Pediatric Cataracts – Conditions and Treatments | Children’s National Hospital
    https://childrensnational.org/visit/conditions-and-treatments/eye-conditions/cataracts
    Cataracts are rare in children. They can affect one eye (unilateral) or both eyes (bilateral). […] Some cataracts are small and don’t cause any trouble with vision. Other more progressive cataracts can cause visual problems in children. […] Congenital cataracts. Some babies are born with cataracts or get them in childhood. These often happen in both eyes. This type of cataract may not affect your child’s vision. Those that do affect vision often need to be removed. […] Most cataracts in children happen along with other eye or health problems. This type of cataract may be from genetic factors. These can include a metabolic disorder caused by an inherited enzyme deficiency. Cataracts can also happen because of a chromosome problem, such as Down syndrome. […] Symptoms can be a bit different for each child. They can include: A pupil that looks white when a flashlight is shined into it, Eyes that aren’t in the right position (misaligned), Rhythmic eye movements that can’t be controlled (nystagmus). The eyes may go back and forth, up and down, around, or mixed, Cloudy or blurry vision, Trouble seeing, Lights that look too bright or have a glare, Seeing a circle of light around an object (halo).
  • #26 Pediatric Cataracts – Conditions and Treatments | Children’s National Hospital
    https://childrensnational.org/visit/conditions-and-treatments/eye-conditions/cataracts
    Cataracts are rare in children. They can affect one eye (unilateral) or both eyes (bilateral). […] Some cataracts are small and don’t cause any trouble with vision. Other more progressive cataracts can cause visual problems in children. […] Congenital cataracts. Some babies are born with cataracts or get them in childhood. These often happen in both eyes. This type of cataract may not affect your child’s vision. Those that do affect vision often need to be removed. […] Most cataracts in children happen along with other eye or health problems. This type of cataract may be from genetic factors. These can include a metabolic disorder caused by an inherited enzyme deficiency. Cataracts can also happen because of a chromosome problem, such as Down syndrome. […] Symptoms can be a bit different for each child. They can include: A pupil that looks white when a flashlight is shined into it, Eyes that aren’t in the right position (misaligned), Rhythmic eye movements that can’t be controlled (nystagmus). The eyes may go back and forth, up and down, around, or mixed, Cloudy or blurry vision, Trouble seeing, Lights that look too bright or have a glare, Seeing a circle of light around an object (halo).
  • #27 Pediatric Cataracts – Conditions and Treatments | Children’s National Hospital
    https://childrensnational.org/visit/conditions-and-treatments/eye-conditions/cataracts
    Cataracts are rare in children. They can affect one eye (unilateral) or both eyes (bilateral). […] Some cataracts are small and don’t cause any trouble with vision. Other more progressive cataracts can cause visual problems in children. […] Congenital cataracts. Some babies are born with cataracts or get them in childhood. These often happen in both eyes. This type of cataract may not affect your child’s vision. Those that do affect vision often need to be removed. […] Most cataracts in children happen along with other eye or health problems. This type of cataract may be from genetic factors. These can include a metabolic disorder caused by an inherited enzyme deficiency. Cataracts can also happen because of a chromosome problem, such as Down syndrome. […] Symptoms can be a bit different for each child. They can include: A pupil that looks white when a flashlight is shined into it, Eyes that aren’t in the right position (misaligned), Rhythmic eye movements that can’t be controlled (nystagmus). The eyes may go back and forth, up and down, around, or mixed, Cloudy or blurry vision, Trouble seeing, Lights that look too bright or have a glare, Seeing a circle of light around an object (halo).
  • #28 Pediatric Cataracts – Conditions and Treatments | Children’s National Hospital
    https://childrensnational.org/visit/conditions-and-treatments/eye-conditions/cataracts
    Cataracts are rare in children. They can affect one eye (unilateral) or both eyes (bilateral). […] Some cataracts are small and don’t cause any trouble with vision. Other more progressive cataracts can cause visual problems in children. […] Congenital cataracts. Some babies are born with cataracts or get them in childhood. These often happen in both eyes. This type of cataract may not affect your child’s vision. Those that do affect vision often need to be removed. […] Most cataracts in children happen along with other eye or health problems. This type of cataract may be from genetic factors. These can include a metabolic disorder caused by an inherited enzyme deficiency. Cataracts can also happen because of a chromosome problem, such as Down syndrome. […] Symptoms can be a bit different for each child. They can include: A pupil that looks white when a flashlight is shined into it, Eyes that aren’t in the right position (misaligned), Rhythmic eye movements that can’t be controlled (nystagmus). The eyes may go back and forth, up and down, around, or mixed, Cloudy or blurry vision, Trouble seeing, Lights that look too bright or have a glare, Seeing a circle of light around an object (halo).
  • #29
    https://www.singhealth.com.sg/patient-care/conditions-treatments/childhood-cataract
    Cataracts occur when the natural lens in our eyes becomes cloudy. […] Childhood cataracts are rare, occurring in up to 15 per 10,000 children. They can affect the development of vision in children, and often requires early treatment. Delay in treatment can result in amblyopia (lazy eye), squints (eye misalignment) or nystagmus (shaky or wobbly eyes). […] As the lens focuses light entering our eye, clouding of the lens in cataracts can result in blurred vision or glare. […] Some telling signs include excessive blinking and eye rubbing, squinting, covering one eye, tilting their heads or going up close to objects. […] Childhood cataracts can occur from birth or develop later in childhood/adolescence. They can occur in isolation with no known cause. […] These cataracts can also be associated with other health problems such as certain genetic syndromes or infections within the womb during pregnancy.
  • #30
    https://www.singhealth.com.sg/patient-care/conditions-treatments/childhood-cataract
    Cataracts occur when the natural lens in our eyes becomes cloudy. […] Childhood cataracts are rare, occurring in up to 15 per 10,000 children. They can affect the development of vision in children, and often requires early treatment. Delay in treatment can result in amblyopia (lazy eye), squints (eye misalignment) or nystagmus (shaky or wobbly eyes). […] As the lens focuses light entering our eye, clouding of the lens in cataracts can result in blurred vision or glare. […] Some telling signs include excessive blinking and eye rubbing, squinting, covering one eye, tilting their heads or going up close to objects. […] Childhood cataracts can occur from birth or develop later in childhood/adolescence. They can occur in isolation with no known cause. […] These cataracts can also be associated with other health problems such as certain genetic syndromes or infections within the womb during pregnancy.
  • #31 Cataracts in Children | Children’s Hospital of Philadelphia
    https://www.chop.edu/conditions-diseases/cataracts-children
    A pediatric ophthalmologist should be seen immediately if there is concern for a vision issue or cataract in a child. […] The goal of cataract treatment in children is to: Maximize and optimize your child’s vision and visual development. […] Long-term follow-up is important after cataract surgery in children. […] Frequent visits are required to monitor and maximize visual development and check for common complications, such as amblyopia, or elevated pressure in the eye (glaucoma). […] After cataract surgery, most children require contact lenses or glasses to allow for a clear and focused image and to maximize their visual development. […] Cataracts can cause severe vision loss in children, but fortunately if treated promptly this can be fully averted. Treatment is often highly successful as long as children and families stick to the treatment plan. […] At Children’s Hospital of Philadelphia (CHOP), your child will be cared for by leaders in the field of pediatric ophthalmology clinical care, surgery and research.
  • #32
    https://www.nhs.uk/conditions/childhood-cataracts/treatment/
    Whether or not your child needs cataract surgery will largely depend on whether their vision is affected. […] If your child’s vision is affected by cataracts, they’ll usually need to have surgery to remove the cloudy lens (or lenses) followed by the long-term use of glasses or contact lenses. […] Cataract surgery for babies and children will take place in hospital under general anaesthetic, which means your child will be unconscious during the operation. […] Most ophthalmologists recommend using contact lenses or glasses in children under 12 months old at the time of surgery. […] After the operation, a pad or transparent shield will be placed over your child’s eye to protect it. […] Most children will need to wear glasses or contact lenses after having cataract surgery. […] Replacing the focusing power of the cataract lens is as important as the surgery to remove it.
  • #33 Pediatric Cataracts | Texas Children’s
    https://www.texaschildrens.org/content/conditions/pediatric-cataracts
    The lens of the eye is usually crystal clear. When the lens of the eye is cloudy or has a solid, milky coloring, the eye has a cataract. About 3 out of every 10,000 children have a cataract, although this number varies throughout the world. […] A child can be born with a cataract or a cataract may develop after the child is born. Many cataracts in children are inherited. Sometimes cataracts can occur along with other conditions that may be the result of a genetic or metabolic issue. Some cataracts are caused by the use of medications such as steroids. Eye trauma can also result in a cataracts. […] Cataracts are treated with surgery. In young children a patch must be used over the normal eye for several hours a day to give the eye that has undergone cataract surgery a better chance to develop good vision. This is an important step in the treatment of the cataract and often needs to be done every day for many years.
  • #34 Pediatric Cataracts – Ophthalmology | UCLA Health
    https://www.uclahealth.org/medical-services/ophthalmology/eye-conditions/pediatric-cataract
    A cataract is a cloudiness or opacification in the normally clear and transparent lens of the eye. Significant clouding can interfere with the passage of light to the retina and blurs vision. […] Early detection and treatment of cataracts are crucial in infants and young children for normal visual development to occur. Amblyopia, also known as „lazy eye,” can develop if one or both eyes are deprived of clear vision. […] Small pediatric cataracts that do not interfere with vision may only require periodic observation to ensure that the eye continues to develop well. Childhood cataracts that do interfere with vision may require treatment with eyeglasses, contact lenses, an eye patch or surgery, used alone or in combination. Pediatric cataracts that significantly obstruct vision require immediate surgery.
  • #35 Pediatric Cataracts – Conditions and Treatments | Children’s National Hospital
    https://childrensnational.org/visit/conditions-and-treatments/eye-conditions/cataracts
    Your child’s healthcare provider will decide on treatment based on the type of cataract your child has. In some cases, your child may need glasses or contact lenses. This can help your child see better. Many children older than age 1 need to have surgery to remove their cataracts and have a new lens inserted. […] Cataracts in children can cause blindness if they aren’t treated. […] Most cataracts in children can’t be prevented. But a lifetime of sun exposure may help lead to the development of cataracts and skin disorders in adults.
  • #36
    https://www.nhs.uk/conditions/childhood-cataracts/treatment/
    Whether or not your child needs cataract surgery will largely depend on whether their vision is affected. […] If your child’s vision is affected by cataracts, they’ll usually need to have surgery to remove the cloudy lens (or lenses) followed by the long-term use of glasses or contact lenses. […] Cataract surgery for babies and children will take place in hospital under general anaesthetic, which means your child will be unconscious during the operation. […] Most ophthalmologists recommend using contact lenses or glasses in children under 12 months old at the time of surgery. […] After the operation, a pad or transparent shield will be placed over your child’s eye to protect it. […] Most children will need to wear glasses or contact lenses after having cataract surgery. […] Replacing the focusing power of the cataract lens is as important as the surgery to remove it.
  • #37 Cataracts in Children Detroit Michigan | Pediatric Cataracts MI
    https://www.pediatriceyedoctorsmichigan.com/pediatric-eye-care/cataracts/
    Cataracts are a leading cause of treatable childhood blindness and affect up to 15 of every 10,000 babies worldwide. […] It is important to seek care from a qualified pediatric ophthalmologist. […] It is important to have your child examined by a pediatric ophthalmologist if they have any eye problems or if congenital cataracts run in your family. […] Surgery is the primary treatment for juvenile cataracts. Congenital cataracts are often treated with surgery 6 to 8 weeks after birth. […] Prompt diagnosis and treatment are very important for proper eye development. […] After cataract surgery, your child will need follow-up care and they may need corrective lenses to ensure their eye health and proper vision development.
  • #38 Cataracts in Children Detroit Michigan | Pediatric Cataracts MI
    https://www.pediatriceyedoctorsmichigan.com/pediatric-eye-care/cataracts/
    Cataracts are a leading cause of treatable childhood blindness and affect up to 15 of every 10,000 babies worldwide. […] It is important to seek care from a qualified pediatric ophthalmologist. […] It is important to have your child examined by a pediatric ophthalmologist if they have any eye problems or if congenital cataracts run in your family. […] Surgery is the primary treatment for juvenile cataracts. Congenital cataracts are often treated with surgery 6 to 8 weeks after birth. […] Prompt diagnosis and treatment are very important for proper eye development. […] After cataract surgery, your child will need follow-up care and they may need corrective lenses to ensure their eye health and proper vision development.
  • #39 Congenital Cataract Treatment & Management: Medical Care, Surgical Care, Consultations
    https://emedicine.medscape.com/article/1210837-treatment
    Medical therapy is directed at the prevention and treatment of amblyopia. […] For visually significant cataracts, surgical intervention is necessary to remove the source of visual deprivation. […] Cataract surgery is the treatment of choice for visually significant congenital cataracts. […] To limit the severity of deprivation amblyopia, it is recommended that unilateral congenital cataracts be removed by 6 weeks of age and bilateral congenital cataracts be removed by 10 weeks of age. […] The procedure of choice is extracapsular cataract extraction with primary posterior capsulotomy and anterior vitrectomy. […] With cataract extraction, the decision must be made whether to place an intraocular lens implant during the initial surgery. […] If a child is left without an intraocular lens (aphakic), refractive correction with a contact lens or aphakic glasses will be required after surgery.
  • #40 CONGENITAL CATARACTS – Nurses Revision
    https://nursesrevisionuganda.com/congenital-cataracts/
    Congenital cataracts are a type of cataract that occurs at birth or during a babys first year of life, characterized by clouding or opacity of the lens of the eye. […] Management and treatment of congenital cataracts involve a multidisciplinary approach and may vary depending on the specific case and underlying cause. […] In general, the younger the child, the greater the urgency in removing the cataract, because of the risk of amblyopia. […] For optimal visual development in newborns and young infants, a visually significant unilateral congenital cataract should be detected and removed before age 6 weeks, and visually significant bilateral congenital cataracts should be removed before age 10 weeks. […] Nursing Assessment: Recent medication intake: Anticoagulant therapy may be withheld to reduce the risk of retrobulbar hemorrhage.
  • #41 Pediatric Cataracts | Children’s Hospital Colorado
    https://www.childrenscolorado.org/conditions-and-advice/conditions-and-symptoms/conditions/cataracts/
    Kids arent just mini adults. In fact, theyre incredibly different. Thats why they need incredibly different care. […] Cataracts typically require surgery or are not serious enough to need treatment. […] We treat many cataracts by removing them from the eye with surgery. We recommend that babies who are born with cataracts have them removed early in life to promote healthy visual development. […] The pediatric ophthalmology team at Children’s Colorado is specially trained to work with children, from infants to adolescents. Our specialists understand that treating cataracts in kids is much different than adults and they make it as comfortable for them as possible. […] Having experience working with kids helps a lot during eye exams and vision evaluations. And the best treatment starts by getting the most accurate diagnosis. At Children’s Colorado, your child will receive the best eye care specifically designed for kids, from the moment they walk in the door to testing, diagnosis and surgery, if needed.
  • #42
    https://www.nhs.uk/conditions/childhood-cataracts/treatment/
    Whether or not your child needs cataract surgery will largely depend on whether their vision is affected. […] If your child’s vision is affected by cataracts, they’ll usually need to have surgery to remove the cloudy lens (or lenses) followed by the long-term use of glasses or contact lenses. […] Cataract surgery for babies and children will take place in hospital under general anaesthetic, which means your child will be unconscious during the operation. […] Most ophthalmologists recommend using contact lenses or glasses in children under 12 months old at the time of surgery. […] After the operation, a pad or transparent shield will be placed over your child’s eye to protect it. […] Most children will need to wear glasses or contact lenses after having cataract surgery. […] Replacing the focusing power of the cataract lens is as important as the surgery to remove it.
  • #43 Pediatric Cataract Surgery | Children’s Hospital Colorado
    https://www.childrenscolorado.org/doctors-and-departments/departments/eye/tests-services-procedures/cataract-surgery/
    Cataract surgery is a procedure that removes your childs cataract, which is a cloudy lens in their eye. Our surgeon replaces the lens with an artificial lens, which helps the eye focus. The surgery will help improve your childs vision and their visual development. One of our pediatric ophthalmologists, eye doctors with specialized training in diagnosing and treating eye conditions in children, will perform the procedure. […] Pediatric cataract surgery takes longer, generally 2 to 3 hours, and requires general anesthesia. Its an outpatient procedure, meaning youll be able to take your child home afterwards and will likely not need to stay in the hospital overnight. […] After cataract surgery, well place a shield and patch over the eye to protect it while it heals. Its normal to have some discomfort, blurriness and light sensitivity right after surgery. If your child is attending school, they will likely want to take a couple days off to recover. Your child will need to restrict their activities for about 1 to 2 weeks after cataract surgery to ensure normal healing and to minimize infection risk. These restrictions include avoiding pools, hot tubs and sports.
  • #44 Pediatric Cataracts | Texas Children’s
    https://www.texaschildrens.org/content/conditions/pediatric-cataracts
    Cataract surgery is not done with a laser. The cataract is removed through a tiny incision that is made into the eye. An opening is then made in the front of the lens capsule (a bag containing the lens). The very soft inner part of the lens is removed from this capsule. Younger children may require a second opening in the back of the lens capsule to allow removal of some vitreous gel that is found behind the lens. When possible, a small artificial lens may be placed inside of the empty lens capsule to help the child focus. When it is not possible to place a lens inside of the eye during cataract surgery, the child will need to wear a contact lens on the surface of the eye. The stitches that are used during cataract surgery will dissolve over time and do not require removal.
  • #45 Congenital cataracts – resources and information | RNIB | RNIB
    https://www.rnib.org.uk/your-eyes/eye-conditions-az/congenital-cataracts/
    The nurses will show you how to put drops into your child’s eye before they are discharged from the hospital. Putting drops and/or ointments into a baby’s eye can be tricky. […] After cataract surgery children usually need glasses or contact lenses. This is because the artificial lens implant or contact lens used to replace your child’s natural lens has a fixed focus. This means it can’t change shape to focus clearly both near and in the distance as our natural eye lens can. […] The ophthalmologist will monitor your baby’s eye very carefully after surgery. This will include checking the health of your child’s eye(s), the eye pressure, the focusing power of the eye, as well as vision. Your child’s glasses or contact lenses must be kept up to date to ensure the developing brain is being shown a clear image.
  • #46 Cataracts in children: Prevent vision loss with early detection and treatment | Eyes and Vision | Pediatrics | UT Southwestern Medical Center
    https://utswmed.org/medblog/cataracts-children-prevent-vision-loss-early-detection-and-treatment/
    Surgery will remove the cloudy lens. In children 12 months or older, an artificial lens may be placed in the eye during the surgery, similar to cataract surgery in adults. […] Depending on the age of the child and the severity of the cataract, the eye-brain connection might need to be repaired or the eyes taught to focus properly. This could involve using eye patches or drops in the good-vision eye to stimulate vision in the poor-vision eye. […] Regular visits will be necessary to check for potential complications such as glaucoma, or elevated pressure in the eye. Diligent follow up also will allow the doctor to check the refraction changes, update the prescription for glasses, and monitor amblyopia (lazy eye) treatment to ensure the best long-term vision outcome and reduce the risk of permanent vision impairment.
  • #47
    https://www.nhs.uk/conditions/childhood-cataracts/treatment/
    Whether or not your child needs cataract surgery will largely depend on whether their vision is affected. […] If your child’s vision is affected by cataracts, they’ll usually need to have surgery to remove the cloudy lens (or lenses) followed by the long-term use of glasses or contact lenses. […] Cataract surgery for babies and children will take place in hospital under general anaesthetic, which means your child will be unconscious during the operation. […] Most ophthalmologists recommend using contact lenses or glasses in children under 12 months old at the time of surgery. […] After the operation, a pad or transparent shield will be placed over your child’s eye to protect it. […] Most children will need to wear glasses or contact lenses after having cataract surgery. […] Replacing the focusing power of the cataract lens is as important as the surgery to remove it.
  • #48
    https://www.nhs.uk/conditions/childhood-cataracts/treatment/
    Whether or not your child needs cataract surgery will largely depend on whether their vision is affected. […] If your child’s vision is affected by cataracts, they’ll usually need to have surgery to remove the cloudy lens (or lenses) followed by the long-term use of glasses or contact lenses. […] Cataract surgery for babies and children will take place in hospital under general anaesthetic, which means your child will be unconscious during the operation. […] Most ophthalmologists recommend using contact lenses or glasses in children under 12 months old at the time of surgery. […] After the operation, a pad or transparent shield will be placed over your child’s eye to protect it. […] Most children will need to wear glasses or contact lenses after having cataract surgery. […] Replacing the focusing power of the cataract lens is as important as the surgery to remove it.
  • #49 Childhood Cataract Surgery – Alder Hey Children’s Hospital Trust
    https://www.alderhey.nhs.uk/conditions/patient-information-leaflets/childhood-cataract-surgery/
    In the situation that that the doctor feels surgery would be beneficial, they will have a discussion to ensure the surgery does take place. This is because, if surgery does not occur, there is a higher risk of poor visual development or an effect on general day to day vision. […] Before the operation, your child will be seen in the clinic by your consultant or a member of the team. […] After surgery, your child’s eye(s) may appear red and the pupil may appear enlarged. They may be sensitive to bright light. However, on the whole, they should be comfortable and will open their eye spontaneously. […] Initially there will be very frequent appointments to ensure the eye is settling well from surgery and to assess the development of the vision. […] All children who have had cataracts removed require long term follow up. This takes place in the eye clinic where your child’s vision will be tested on a regular basis by the Orthoptist and Optometrist, and any changes can be dealt with as soon as possible.
  • #50 Pediatric Cataract Surgery | Children’s Hospital Colorado
    https://www.childrenscolorado.org/doctors-and-departments/departments/eye/tests-services-procedures/cataract-surgery/
    Cataract surgery is a procedure that removes your childs cataract, which is a cloudy lens in their eye. Our surgeon replaces the lens with an artificial lens, which helps the eye focus. The surgery will help improve your childs vision and their visual development. One of our pediatric ophthalmologists, eye doctors with specialized training in diagnosing and treating eye conditions in children, will perform the procedure. […] Pediatric cataract surgery takes longer, generally 2 to 3 hours, and requires general anesthesia. Its an outpatient procedure, meaning youll be able to take your child home afterwards and will likely not need to stay in the hospital overnight. […] After cataract surgery, well place a shield and patch over the eye to protect it while it heals. Its normal to have some discomfort, blurriness and light sensitivity right after surgery. If your child is attending school, they will likely want to take a couple days off to recover. Your child will need to restrict their activities for about 1 to 2 weeks after cataract surgery to ensure normal healing and to minimize infection risk. These restrictions include avoiding pools, hot tubs and sports.
  • #51 Pediatric Cataract Surgery | Children’s Hospital Colorado
    https://www.childrenscolorado.org/doctors-and-departments/departments/eye/tests-services-procedures/cataract-surgery/
    Cataract surgery is a procedure that removes your childs cataract, which is a cloudy lens in their eye. Our surgeon replaces the lens with an artificial lens, which helps the eye focus. The surgery will help improve your childs vision and their visual development. One of our pediatric ophthalmologists, eye doctors with specialized training in diagnosing and treating eye conditions in children, will perform the procedure. […] Pediatric cataract surgery takes longer, generally 2 to 3 hours, and requires general anesthesia. Its an outpatient procedure, meaning youll be able to take your child home afterwards and will likely not need to stay in the hospital overnight. […] After cataract surgery, well place a shield and patch over the eye to protect it while it heals. Its normal to have some discomfort, blurriness and light sensitivity right after surgery. If your child is attending school, they will likely want to take a couple days off to recover. Your child will need to restrict their activities for about 1 to 2 weeks after cataract surgery to ensure normal healing and to minimize infection risk. These restrictions include avoiding pools, hot tubs and sports.
  • #52
  • #53 Congenital Cataracts Albuquerque | Cataracts Santa Fe | Eye NM
    https://www.eyenm.com/pediatrics-eye-exams-albuquerque/cataract-surgery-for-children/
    Cataract surgery is being scheduled for your child. It is not usually necessary to spend the night in the hospital before or after this type of surgery. […] Young children recover quickly, usually behaving normally by the next morning. Older children may be uncomfortable for a day or two. Pain medication is rarely necessary after discharge, but some patients find that Tylenol or ibuprofen is helpful. A prescription for eye drops will be given on or before the day of surgery. You will not need to administer drops the first night (just leave the patch in place), but try to have the prescription filled before the examination the next morning. After the patch and shield are removed in the morning, you will begin to administer eye drops, perhaps as frequently as every hour (while you are awake.) Try to put the drop inside the lower lid (or anywhere on the eyes of squirming, squeamish children). If you cannot gently separate the eyelids, just lay your child on his or her back, place a drop on the closed eyelids, and wait for them to soak into the eye.
  • #54
    https://www.nhs.uk/conditions/childhood-cataracts/treatment/
    Whether or not your child needs cataract surgery will largely depend on whether their vision is affected. […] If your child’s vision is affected by cataracts, they’ll usually need to have surgery to remove the cloudy lens (or lenses) followed by the long-term use of glasses or contact lenses. […] Cataract surgery for babies and children will take place in hospital under general anaesthetic, which means your child will be unconscious during the operation. […] Most ophthalmologists recommend using contact lenses or glasses in children under 12 months old at the time of surgery. […] After the operation, a pad or transparent shield will be placed over your child’s eye to protect it. […] Most children will need to wear glasses or contact lenses after having cataract surgery. […] Replacing the focusing power of the cataract lens is as important as the surgery to remove it.
  • #55
    https://www.nhs.uk/conditions/childhood-cataracts/treatment/
    Whether or not your child needs cataract surgery will largely depend on whether their vision is affected. […] If your child’s vision is affected by cataracts, they’ll usually need to have surgery to remove the cloudy lens (or lenses) followed by the long-term use of glasses or contact lenses. […] Cataract surgery for babies and children will take place in hospital under general anaesthetic, which means your child will be unconscious during the operation. […] Most ophthalmologists recommend using contact lenses or glasses in children under 12 months old at the time of surgery. […] After the operation, a pad or transparent shield will be placed over your child’s eye to protect it. […] Most children will need to wear glasses or contact lenses after having cataract surgery. […] Replacing the focusing power of the cataract lens is as important as the surgery to remove it.
  • #56 Congenital cataracts – resources and information | RNIB | RNIB
    https://www.rnib.org.uk/your-eyes/eye-conditions-az/congenital-cataracts/
    The nurses will show you how to put drops into your child’s eye before they are discharged from the hospital. Putting drops and/or ointments into a baby’s eye can be tricky. […] After cataract surgery children usually need glasses or contact lenses. This is because the artificial lens implant or contact lens used to replace your child’s natural lens has a fixed focus. This means it can’t change shape to focus clearly both near and in the distance as our natural eye lens can. […] The ophthalmologist will monitor your baby’s eye very carefully after surgery. This will include checking the health of your child’s eye(s), the eye pressure, the focusing power of the eye, as well as vision. Your child’s glasses or contact lenses must be kept up to date to ensure the developing brain is being shown a clear image.
  • #57
    https://www.nhs.uk/conditions/childhood-cataracts/treatment/
    For almost all cases of unilateral cataract (where 1 eye is affected) and if a child with bilateral cataracts has weaker vision in 1 eye, the optometrist may recommend they wear a temporary patch over their stronger eye. This is known as occlusion therapy. […] Without treatment, most children with unilateral cataract will not be able to develop good vision in their operated eye.
  • #58 Congenital cataracts factsheet | The Sydney Children’s Hospitals Network
    https://www.schn.health.nsw.gov.au/congenital-cataracts-factsheet
    Congenital cataracts are a treatable condition where the lens in a childs eye is cloudy instead of clear. […] Congenital cataracts cause issues with a childs vision. […] How congenital cataracts are treated will depend on how dense they are and whether they are affecting your childs ability to see well. […] If the cataracts are not affecting your childs vision, the doctor may choose to wait for treatment and continue to check your childs eyes regularly. […] Cataracts must be removed when they affect a childs vision. […] After the surgery, your child will need: to wear an eye patch while they recover, eye drops regularly throughout the day, as directed by the doctor. […] A childs eyes will keep developing until they are around eight years old. This means it’s important to check their vision regularly if they have congenital cataracts. […] Some children with congenital cataracts might need patching therapy if they develop amblyopia, or lazy eye. […] Your child’s treatment team will talk to you about whether your child needs patching therapy.
  • #59 Congenital Cataracts & Pediatric Children’s Cataract NJ | The Eye Care & Surgery Center Westfield Warren
    https://newjerseyvision.com/congenital-childrens-cataracts-nj/
    A cataract is an opacification or clouding of the normal crystalline lens. Cataracts can occur at different ages in children. The diagnosis of a congenital cataract which is present at birth can be made on the first day of life if a red reflex is not obtained in the newborn nursery. Early diagnosis and referral are important since irreversible damage can occur if a congenital cataract is not treated in the first few months of life. […] A thorough ocular and systemic evaluation should be performed in any child who presents with a cataract. A genetic evaluation may be indicated in some cases as well. […] If the cataract is determined to be visually significant, surgery is indicated to remove the involved lens. Once the visual axis is cleared, the child will require optical correction to allow visual rehabilitation. This may include the use of glasses, a contact lens or an intraocular lens implant. […] Because of these factors a contact lens is sometimes used. These contact lenses should not be thought of as a substitute for glasses as they may be in adult patients. They are an absolute necessity for infants with cataracts or an older child with a unilateral cataract. […] Amblyopia is a major obstacle to the development of good vision in these children. Amblyopia therapy is an important issue in the management of childhood cataracts. A good visual outcome is highly dependent on the compliance with amblyopia treatment.
  • #60 Congenital cataracts | March of Dimes
    https://www.marchofdimes.org/find-support/topics/planning-baby/congenital-cataracts
    Babies with cataracts may have patch therapy until their eyes are fully developed, which happens around ages 8 to 10. […] Babies and children with vision problems also may need orientation and mobility (also called OM) training as part of early intervention services. OM training helps children use their other senses to learn about their environment and learn how to move around safely. […] Regular visits with a pediatric ophthalmologist are important to watch for any problems and help your baby’s eyesight develop properly.
  • #61
    https://www.nhs.uk/conditions/childhood-cataracts/treatment/
    For almost all cases of unilateral cataract (where 1 eye is affected) and if a child with bilateral cataracts has weaker vision in 1 eye, the optometrist may recommend they wear a temporary patch over their stronger eye. This is known as occlusion therapy. […] Without treatment, most children with unilateral cataract will not be able to develop good vision in their operated eye.
  • #62 Congenital cataracts | March of Dimes
    https://www.marchofdimes.org/find-support/topics/planning-baby/congenital-cataracts
    Babies with cataracts may have patch therapy until their eyes are fully developed, which happens around ages 8 to 10. […] Babies and children with vision problems also may need orientation and mobility (also called OM) training as part of early intervention services. OM training helps children use their other senses to learn about their environment and learn how to move around safely. […] Regular visits with a pediatric ophthalmologist are important to watch for any problems and help your baby’s eyesight develop properly.
  • #63 3 Cataracts Nursing Care Plans – Nurseslabs
    https://nurseslabs.com/cataracts-nursing-care-plans/
    Developing a nursing care plan for cataract patients requires a thorough understanding of the nursing diagnosis for this condition. […] Nursing care revolves around patient education before and after surgery and providing safety. […] The following are the nursing priorities for patients with cataracts: Assess and recognize cataracts, Educate patients about cataracts, Monitor visual acuity and limitations, Provide support for visual function optimization, Coordinate referrals for surgical evaluation. […] Goals and expected outcomes may include: The patient will regain the optimal vision possible and will adapt to permanent visual changes, The patient will be able to verbalize understanding of visual loss and diseases of the eyes, The patient will be able to regain vision to the maximum possible extent with the surgical procedure, The patient will be able to deal with the potential for permanent visual loss, The patient will maintain a safe environment with no injury noted, The patient will be able to use adaptive devices to compensate for visual loss, The patient will be compliant with the instructions given and will be able to notify the physician of emergency symptoms, The patient will be free of injury and will be able to perform activities within the parameters of sensory limitation, The patient will be able to be free of injury, The patient and/or family will be able to modify the environment to ensure patient safety.
  • #64 3 Cataracts Nursing Care Plans – Nurseslabs
    https://nurseslabs.com/cataracts-nursing-care-plans/
    Developing a nursing care plan for cataract patients requires a thorough understanding of the nursing diagnosis for this condition. […] Nursing care revolves around patient education before and after surgery and providing safety. […] The following are the nursing priorities for patients with cataracts: Assess and recognize cataracts, Educate patients about cataracts, Monitor visual acuity and limitations, Provide support for visual function optimization, Coordinate referrals for surgical evaluation. […] Goals and expected outcomes may include: The patient will regain the optimal vision possible and will adapt to permanent visual changes, The patient will be able to verbalize understanding of visual loss and diseases of the eyes, The patient will be able to regain vision to the maximum possible extent with the surgical procedure, The patient will be able to deal with the potential for permanent visual loss, The patient will maintain a safe environment with no injury noted, The patient will be able to use adaptive devices to compensate for visual loss, The patient will be compliant with the instructions given and will be able to notify the physician of emergency symptoms, The patient will be free of injury and will be able to perform activities within the parameters of sensory limitation, The patient will be able to be free of injury, The patient and/or family will be able to modify the environment to ensure patient safety.
  • #65 3 Cataracts Nursing Care Plans – Nurseslabs
    https://nurseslabs.com/cataracts-nursing-care-plans/
    Developing a nursing care plan for cataract patients requires a thorough understanding of the nursing diagnosis for this condition. […] Nursing care revolves around patient education before and after surgery and providing safety. […] The following are the nursing priorities for patients with cataracts: Assess and recognize cataracts, Educate patients about cataracts, Monitor visual acuity and limitations, Provide support for visual function optimization, Coordinate referrals for surgical evaluation. […] Goals and expected outcomes may include: The patient will regain the optimal vision possible and will adapt to permanent visual changes, The patient will be able to verbalize understanding of visual loss and diseases of the eyes, The patient will be able to regain vision to the maximum possible extent with the surgical procedure, The patient will be able to deal with the potential for permanent visual loss, The patient will maintain a safe environment with no injury noted, The patient will be able to use adaptive devices to compensate for visual loss, The patient will be compliant with the instructions given and will be able to notify the physician of emergency symptoms, The patient will be free of injury and will be able to perform activities within the parameters of sensory limitation, The patient will be able to be free of injury, The patient and/or family will be able to modify the environment to ensure patient safety.
  • #66 3 Cataracts Nursing Care Plans – Nurseslabs
    https://nurseslabs.com/cataracts-nursing-care-plans/
    Developing a nursing care plan for cataract patients requires a thorough understanding of the nursing diagnosis for this condition. […] Nursing care revolves around patient education before and after surgery and providing safety. […] The following are the nursing priorities for patients with cataracts: Assess and recognize cataracts, Educate patients about cataracts, Monitor visual acuity and limitations, Provide support for visual function optimization, Coordinate referrals for surgical evaluation. […] Goals and expected outcomes may include: The patient will regain the optimal vision possible and will adapt to permanent visual changes, The patient will be able to verbalize understanding of visual loss and diseases of the eyes, The patient will be able to regain vision to the maximum possible extent with the surgical procedure, The patient will be able to deal with the potential for permanent visual loss, The patient will maintain a safe environment with no injury noted, The patient will be able to use adaptive devices to compensate for visual loss, The patient will be compliant with the instructions given and will be able to notify the physician of emergency symptoms, The patient will be free of injury and will be able to perform activities within the parameters of sensory limitation, The patient will be able to be free of injury, The patient and/or family will be able to modify the environment to ensure patient safety.
  • #67 3 Cataracts Nursing Care Plans – Nurseslabs
    https://nurseslabs.com/cataracts-nursing-care-plans/
    Developing a nursing care plan for cataract patients requires a thorough understanding of the nursing diagnosis for this condition. […] Nursing care revolves around patient education before and after surgery and providing safety. […] The following are the nursing priorities for patients with cataracts: Assess and recognize cataracts, Educate patients about cataracts, Monitor visual acuity and limitations, Provide support for visual function optimization, Coordinate referrals for surgical evaluation. […] Goals and expected outcomes may include: The patient will regain the optimal vision possible and will adapt to permanent visual changes, The patient will be able to verbalize understanding of visual loss and diseases of the eyes, The patient will be able to regain vision to the maximum possible extent with the surgical procedure, The patient will be able to deal with the potential for permanent visual loss, The patient will maintain a safe environment with no injury noted, The patient will be able to use adaptive devices to compensate for visual loss, The patient will be compliant with the instructions given and will be able to notify the physician of emergency symptoms, The patient will be free of injury and will be able to perform activities within the parameters of sensory limitation, The patient will be able to be free of injury, The patient and/or family will be able to modify the environment to ensure patient safety.
  • #68 3 Cataracts Nursing Care Plans – Nurseslabs
    https://nurseslabs.com/cataracts-nursing-care-plans/
    Developing a nursing care plan for cataract patients requires a thorough understanding of the nursing diagnosis for this condition. […] Nursing care revolves around patient education before and after surgery and providing safety. […] The following are the nursing priorities for patients with cataracts: Assess and recognize cataracts, Educate patients about cataracts, Monitor visual acuity and limitations, Provide support for visual function optimization, Coordinate referrals for surgical evaluation. […] Goals and expected outcomes may include: The patient will regain the optimal vision possible and will adapt to permanent visual changes, The patient will be able to verbalize understanding of visual loss and diseases of the eyes, The patient will be able to regain vision to the maximum possible extent with the surgical procedure, The patient will be able to deal with the potential for permanent visual loss, The patient will maintain a safe environment with no injury noted, The patient will be able to use adaptive devices to compensate for visual loss, The patient will be compliant with the instructions given and will be able to notify the physician of emergency symptoms, The patient will be free of injury and will be able to perform activities within the parameters of sensory limitation, The patient will be able to be free of injury, The patient and/or family will be able to modify the environment to ensure patient safety.
  • #69 Cataract (Nursing) – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/sites/books/NBK568765/
    Nursing Management: […] – Check visual acuity […] – Teach patient about cataracts and their treatment […] – Teach patient about healthy diet […] – Educate about medication compliance […] Outcome Identification: […] – Vision restored […] Monitoring: […] – Visual acuity […] – Eye redness […] – Eye pain […] Coordination of Care: […] – Anytime a patient visits a clinic or emergency department for symptoms of visual impairment. The primary care provider should be responsible for quick referral of the patient to an ophthalmologist. […] The management of cataract differs based on the severity of the disease, visual impairment, and age of the patient. The mainstay of treatment is usually surgical cataract extraction. Patients who have mild symptoms can receive treatment as an outpatient with refractive glasses and pupillary dilatation. Those with more severe disease or with advanced age should be advised elective surgery as a day-case procedure.
  • #70 Cataract (Nursing) – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/sites/books/NBK568765/
    Nursing Management: […] – Check visual acuity […] – Teach patient about cataracts and their treatment […] – Teach patient about healthy diet […] – Educate about medication compliance […] Outcome Identification: […] – Vision restored […] Monitoring: […] – Visual acuity […] – Eye redness […] – Eye pain […] Coordination of Care: […] – Anytime a patient visits a clinic or emergency department for symptoms of visual impairment. The primary care provider should be responsible for quick referral of the patient to an ophthalmologist. […] The management of cataract differs based on the severity of the disease, visual impairment, and age of the patient. The mainstay of treatment is usually surgical cataract extraction. Patients who have mild symptoms can receive treatment as an outpatient with refractive glasses and pupillary dilatation. Those with more severe disease or with advanced age should be advised elective surgery as a day-case procedure.
  • #71 Cataract (Nursing) – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/sites/books/NBK568765/
    Nursing Management: […] – Check visual acuity […] – Teach patient about cataracts and their treatment […] – Teach patient about healthy diet […] – Educate about medication compliance […] Outcome Identification: […] – Vision restored […] Monitoring: […] – Visual acuity […] – Eye redness […] – Eye pain […] Coordination of Care: […] – Anytime a patient visits a clinic or emergency department for symptoms of visual impairment. The primary care provider should be responsible for quick referral of the patient to an ophthalmologist. […] The management of cataract differs based on the severity of the disease, visual impairment, and age of the patient. The mainstay of treatment is usually surgical cataract extraction. Patients who have mild symptoms can receive treatment as an outpatient with refractive glasses and pupillary dilatation. Those with more severe disease or with advanced age should be advised elective surgery as a day-case procedure.
  • #72 Cataract (Nursing) – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/sites/books/NBK568765/
    Health Teaching and Health Promotion: […] – The patients should receive education about: […] – Risk factors of the disease […] – Complications of the disease […] – Treatment options of the disease […] – Complications of the surgery […] – The regular need for a follow-up […] Risk Management: […] – After eye injury, refer the patient to the ophthalmologist. […] – Always assess visual acuity when there are vision-related issues. […] – Document everything […] Discharge Planning: […] – Wear sunglasses when going out […] – Wear protective eye wear like face shield when working with hazardous fluids and playing sports […] – Get regular eye exams […] – Comply with medications […] Diagnosis and treatment of cataracts require an interdisciplinary team approach, to include primary care providers (physicians, PAs, NPs), specialists (ophthalmologists, ophthalmic surgeons), and nursing support. This approach helps to ensure timely and effective patient care and optimal outcomes.
  • #73 Cataract (Nursing) – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/sites/books/NBK568765/
    Health Teaching and Health Promotion: […] – The patients should receive education about: […] – Risk factors of the disease […] – Complications of the disease […] – Treatment options of the disease […] – Complications of the surgery […] – The regular need for a follow-up […] Risk Management: […] – After eye injury, refer the patient to the ophthalmologist. […] – Always assess visual acuity when there are vision-related issues. […] – Document everything […] Discharge Planning: […] – Wear sunglasses when going out […] – Wear protective eye wear like face shield when working with hazardous fluids and playing sports […] – Get regular eye exams […] – Comply with medications […] Diagnosis and treatment of cataracts require an interdisciplinary team approach, to include primary care providers (physicians, PAs, NPs), specialists (ophthalmologists, ophthalmic surgeons), and nursing support. This approach helps to ensure timely and effective patient care and optimal outcomes.
  • #74 Cataract (Nursing) – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/sites/books/NBK568765/
    Health Teaching and Health Promotion: […] – The patients should receive education about: […] – Risk factors of the disease […] – Complications of the disease […] – Treatment options of the disease […] – Complications of the surgery […] – The regular need for a follow-up […] Risk Management: […] – After eye injury, refer the patient to the ophthalmologist. […] – Always assess visual acuity when there are vision-related issues. […] – Document everything […] Discharge Planning: […] – Wear sunglasses when going out […] – Wear protective eye wear like face shield when working with hazardous fluids and playing sports […] – Get regular eye exams […] – Comply with medications […] Diagnosis and treatment of cataracts require an interdisciplinary team approach, to include primary care providers (physicians, PAs, NPs), specialists (ophthalmologists, ophthalmic surgeons), and nursing support. This approach helps to ensure timely and effective patient care and optimal outcomes.
  • #75 Cataract (Nursing) – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/sites/books/NBK568765/
    Health Teaching and Health Promotion: […] – The patients should receive education about: […] – Risk factors of the disease […] – Complications of the disease […] – Treatment options of the disease […] – Complications of the surgery […] – The regular need for a follow-up […] Risk Management: […] – After eye injury, refer the patient to the ophthalmologist. […] – Always assess visual acuity when there are vision-related issues. […] – Document everything […] Discharge Planning: […] – Wear sunglasses when going out […] – Wear protective eye wear like face shield when working with hazardous fluids and playing sports […] – Get regular eye exams […] – Comply with medications […] Diagnosis and treatment of cataracts require an interdisciplinary team approach, to include primary care providers (physicians, PAs, NPs), specialists (ophthalmologists, ophthalmic surgeons), and nursing support. This approach helps to ensure timely and effective patient care and optimal outcomes.
  • #76 Cataract (Nursing) – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/sites/books/NBK568765/
    Health Teaching and Health Promotion: […] – The patients should receive education about: […] – Risk factors of the disease […] – Complications of the disease […] – Treatment options of the disease […] – Complications of the surgery […] – The regular need for a follow-up […] Risk Management: […] – After eye injury, refer the patient to the ophthalmologist. […] – Always assess visual acuity when there are vision-related issues. […] – Document everything […] Discharge Planning: […] – Wear sunglasses when going out […] – Wear protective eye wear like face shield when working with hazardous fluids and playing sports […] – Get regular eye exams […] – Comply with medications […] Diagnosis and treatment of cataracts require an interdisciplinary team approach, to include primary care providers (physicians, PAs, NPs), specialists (ophthalmologists, ophthalmic surgeons), and nursing support. This approach helps to ensure timely and effective patient care and optimal outcomes.
  • #77 Congenital Cataracts (for Parents) | Nemours KidsHealth
    https://kidshealth.org/en/parents/congenital-cataracts.html
    Kids who have had congenital cataracts removed may have other eye problems. Careful and complete follow-up is important. […] To help your child: Take your child to all well-child checkups and ophthalmologist visits. […] If your child is treated with: Contact lenses: Follow the cleaning and wearing schedule. Tell your baby’s doctor if you have trouble with the contact lens routine. […] Medicines (including eye drops): Give them on time, every time. Renew prescriptions before they run out. Talk to the pharmacist or your doctor if you’re not sure how to give a medicine. […] Glasses: Encourage your child to wear them as directed. Go to all medical visits so the prescription can be updated. […] Tell the doctor if other people in your family have (or had) cataracts. If your child’s cataracts are due to a genetic (DNA) condition, ask about genetic counseling for your family and for your child, when they reach adulthood.
  • #78 Congenital Cataracts (for Parents) | Nemours KidsHealth
    https://kidshealth.org/en/parents/congenital-cataracts.html
    Kids who have had congenital cataracts removed may have other eye problems. Careful and complete follow-up is important. […] To help your child: Take your child to all well-child checkups and ophthalmologist visits. […] If your child is treated with: Contact lenses: Follow the cleaning and wearing schedule. Tell your baby’s doctor if you have trouble with the contact lens routine. […] Medicines (including eye drops): Give them on time, every time. Renew prescriptions before they run out. Talk to the pharmacist or your doctor if you’re not sure how to give a medicine. […] Glasses: Encourage your child to wear them as directed. Go to all medical visits so the prescription can be updated. […] Tell the doctor if other people in your family have (or had) cataracts. If your child’s cataracts are due to a genetic (DNA) condition, ask about genetic counseling for your family and for your child, when they reach adulthood.
  • #79 Congenital Cataracts (for Parents) | Nemours KidsHealth
    https://kidshealth.org/en/parents/congenital-cataracts.html
    Kids who have had congenital cataracts removed may have other eye problems. Careful and complete follow-up is important. […] To help your child: Take your child to all well-child checkups and ophthalmologist visits. […] If your child is treated with: Contact lenses: Follow the cleaning and wearing schedule. Tell your baby’s doctor if you have trouble with the contact lens routine. […] Medicines (including eye drops): Give them on time, every time. Renew prescriptions before they run out. Talk to the pharmacist or your doctor if you’re not sure how to give a medicine. […] Glasses: Encourage your child to wear them as directed. Go to all medical visits so the prescription can be updated. […] Tell the doctor if other people in your family have (or had) cataracts. If your child’s cataracts are due to a genetic (DNA) condition, ask about genetic counseling for your family and for your child, when they reach adulthood.
  • #80 Congenital Cataracts (for Parents) | Nemours KidsHealth
    https://kidshealth.org/en/parents/congenital-cataracts.html
    Kids who have had congenital cataracts removed may have other eye problems. Careful and complete follow-up is important. […] To help your child: Take your child to all well-child checkups and ophthalmologist visits. […] If your child is treated with: Contact lenses: Follow the cleaning and wearing schedule. Tell your baby’s doctor if you have trouble with the contact lens routine. […] Medicines (including eye drops): Give them on time, every time. Renew prescriptions before they run out. Talk to the pharmacist or your doctor if you’re not sure how to give a medicine. […] Glasses: Encourage your child to wear them as directed. Go to all medical visits so the prescription can be updated. […] Tell the doctor if other people in your family have (or had) cataracts. If your child’s cataracts are due to a genetic (DNA) condition, ask about genetic counseling for your family and for your child, when they reach adulthood.
  • #81 Cataract (Nursing) – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/sites/books/NBK568765/
    Health Teaching and Health Promotion: […] – The patients should receive education about: […] – Risk factors of the disease […] – Complications of the disease […] – Treatment options of the disease […] – Complications of the surgery […] – The regular need for a follow-up […] Risk Management: […] – After eye injury, refer the patient to the ophthalmologist. […] – Always assess visual acuity when there are vision-related issues. […] – Document everything […] Discharge Planning: […] – Wear sunglasses when going out […] – Wear protective eye wear like face shield when working with hazardous fluids and playing sports […] – Get regular eye exams […] – Comply with medications […] Diagnosis and treatment of cataracts require an interdisciplinary team approach, to include primary care providers (physicians, PAs, NPs), specialists (ophthalmologists, ophthalmic surgeons), and nursing support. This approach helps to ensure timely and effective patient care and optimal outcomes.
  • #82 Cataract (Nursing) – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/sites/books/NBK568765/
    Health Teaching and Health Promotion: […] – The patients should receive education about: […] – Risk factors of the disease […] – Complications of the disease […] – Treatment options of the disease […] – Complications of the surgery […] – The regular need for a follow-up […] Risk Management: […] – After eye injury, refer the patient to the ophthalmologist. […] – Always assess visual acuity when there are vision-related issues. […] – Document everything […] Discharge Planning: […] – Wear sunglasses when going out […] – Wear protective eye wear like face shield when working with hazardous fluids and playing sports […] – Get regular eye exams […] – Comply with medications […] Diagnosis and treatment of cataracts require an interdisciplinary team approach, to include primary care providers (physicians, PAs, NPs), specialists (ophthalmologists, ophthalmic surgeons), and nursing support. This approach helps to ensure timely and effective patient care and optimal outcomes.
  • #83 Cataract (Nursing) – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/sites/books/NBK568765/
    Health Teaching and Health Promotion: […] – The patients should receive education about: […] – Risk factors of the disease […] – Complications of the disease […] – Treatment options of the disease […] – Complications of the surgery […] – The regular need for a follow-up […] Risk Management: […] – After eye injury, refer the patient to the ophthalmologist. […] – Always assess visual acuity when there are vision-related issues. […] – Document everything […] Discharge Planning: […] – Wear sunglasses when going out […] – Wear protective eye wear like face shield when working with hazardous fluids and playing sports […] – Get regular eye exams […] – Comply with medications […] Diagnosis and treatment of cataracts require an interdisciplinary team approach, to include primary care providers (physicians, PAs, NPs), specialists (ophthalmologists, ophthalmic surgeons), and nursing support. This approach helps to ensure timely and effective patient care and optimal outcomes.
  • #84 Cataract (Nursing) – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/sites/books/NBK568765/
    Health Teaching and Health Promotion: […] – The patients should receive education about: […] – Risk factors of the disease […] – Complications of the disease […] – Treatment options of the disease […] – Complications of the surgery […] – The regular need for a follow-up […] Risk Management: […] – After eye injury, refer the patient to the ophthalmologist. […] – Always assess visual acuity when there are vision-related issues. […] – Document everything […] Discharge Planning: […] – Wear sunglasses when going out […] – Wear protective eye wear like face shield when working with hazardous fluids and playing sports […] – Get regular eye exams […] – Comply with medications […] Diagnosis and treatment of cataracts require an interdisciplinary team approach, to include primary care providers (physicians, PAs, NPs), specialists (ophthalmologists, ophthalmic surgeons), and nursing support. This approach helps to ensure timely and effective patient care and optimal outcomes.
  • #85 Congenital Cataracts Albuquerque | Cataracts Santa Fe | Eye NM
    https://www.eyenm.com/pediatrics-eye-exams-albuquerque/cataract-surgery-for-children/
    Activity is restricted after surgery. No heavy lifting, rough play, or high-speed sports such as biking for 6 weeks depending on the exact type of surgery. Stay out of swimming pools for 2 weeks. Hair washing, bathing, and showering are OK but do not get water in the eye. […] You will be given a shield to protect the eye from accidental injury; in general, this is placed over the eye for several days or weeks after surgery. Glasses, if worn, may be used instead of a shield.
  • #86 Congenital Cataracts Albuquerque | Cataracts Santa Fe | Eye NM
    https://www.eyenm.com/pediatrics-eye-exams-albuquerque/cataract-surgery-for-children/
    Activity is restricted after surgery. No heavy lifting, rough play, or high-speed sports such as biking for 6 weeks depending on the exact type of surgery. Stay out of swimming pools for 2 weeks. Hair washing, bathing, and showering are OK but do not get water in the eye. […] You will be given a shield to protect the eye from accidental injury; in general, this is placed over the eye for several days or weeks after surgery. Glasses, if worn, may be used instead of a shield.
  • #87 Congenital Cataracts Albuquerque | Cataracts Santa Fe | Eye NM
    https://www.eyenm.com/pediatrics-eye-exams-albuquerque/cataract-surgery-for-children/
    Activity is restricted after surgery. No heavy lifting, rough play, or high-speed sports such as biking for 6 weeks depending on the exact type of surgery. Stay out of swimming pools for 2 weeks. Hair washing, bathing, and showering are OK but do not get water in the eye. […] You will be given a shield to protect the eye from accidental injury; in general, this is placed over the eye for several days or weeks after surgery. Glasses, if worn, may be used instead of a shield.
  • #88 Congenital Cataracts Albuquerque | Cataracts Santa Fe | Eye NM
    https://www.eyenm.com/pediatrics-eye-exams-albuquerque/cataract-surgery-for-children/
    Activity is restricted after surgery. No heavy lifting, rough play, or high-speed sports such as biking for 6 weeks depending on the exact type of surgery. Stay out of swimming pools for 2 weeks. Hair washing, bathing, and showering are OK but do not get water in the eye. […] You will be given a shield to protect the eye from accidental injury; in general, this is placed over the eye for several days or weeks after surgery. Glasses, if worn, may be used instead of a shield.
  • #89 Cataracts in Children | Children’s Hospital of Philadelphia
    https://www.chop.edu/conditions-diseases/cataracts-children
    A pediatric ophthalmologist should be seen immediately if there is concern for a vision issue or cataract in a child. […] The goal of cataract treatment in children is to: Maximize and optimize your child’s vision and visual development. […] Long-term follow-up is important after cataract surgery in children. […] Frequent visits are required to monitor and maximize visual development and check for common complications, such as amblyopia, or elevated pressure in the eye (glaucoma). […] After cataract surgery, most children require contact lenses or glasses to allow for a clear and focused image and to maximize their visual development. […] Cataracts can cause severe vision loss in children, but fortunately if treated promptly this can be fully averted. Treatment is often highly successful as long as children and families stick to the treatment plan. […] At Children’s Hospital of Philadelphia (CHOP), your child will be cared for by leaders in the field of pediatric ophthalmology clinical care, surgery and research.
  • #90 Childhood Cataract Surgery – Alder Hey Children’s Hospital Trust
    https://www.alderhey.nhs.uk/conditions/patient-information-leaflets/childhood-cataract-surgery/
    In the situation that that the doctor feels surgery would be beneficial, they will have a discussion to ensure the surgery does take place. This is because, if surgery does not occur, there is a higher risk of poor visual development or an effect on general day to day vision. […] Before the operation, your child will be seen in the clinic by your consultant or a member of the team. […] After surgery, your child’s eye(s) may appear red and the pupil may appear enlarged. They may be sensitive to bright light. However, on the whole, they should be comfortable and will open their eye spontaneously. […] Initially there will be very frequent appointments to ensure the eye is settling well from surgery and to assess the development of the vision. […] All children who have had cataracts removed require long term follow up. This takes place in the eye clinic where your child’s vision will be tested on a regular basis by the Orthoptist and Optometrist, and any changes can be dealt with as soon as possible.
  • #91 Congenital cataracts | March of Dimes
    https://www.marchofdimes.org/find-support/topics/planning-baby/congenital-cataracts
    Babies with cataracts may have patch therapy until their eyes are fully developed, which happens around ages 8 to 10. […] Babies and children with vision problems also may need orientation and mobility (also called OM) training as part of early intervention services. OM training helps children use their other senses to learn about their environment and learn how to move around safely. […] Regular visits with a pediatric ophthalmologist are important to watch for any problems and help your baby’s eyesight develop properly.
  • #92 Cataracts in Children | Children’s Hospital of Philadelphia
    https://www.chop.edu/conditions-diseases/cataracts-children
    A pediatric ophthalmologist should be seen immediately if there is concern for a vision issue or cataract in a child. […] The goal of cataract treatment in children is to: Maximize and optimize your child’s vision and visual development. […] Long-term follow-up is important after cataract surgery in children. […] Frequent visits are required to monitor and maximize visual development and check for common complications, such as amblyopia, or elevated pressure in the eye (glaucoma). […] After cataract surgery, most children require contact lenses or glasses to allow for a clear and focused image and to maximize their visual development. […] Cataracts can cause severe vision loss in children, but fortunately if treated promptly this can be fully averted. Treatment is often highly successful as long as children and families stick to the treatment plan. […] At Children’s Hospital of Philadelphia (CHOP), your child will be cared for by leaders in the field of pediatric ophthalmology clinical care, surgery and research.
  • #93 Congenital cataracts – resources and information | RNIB | RNIB
    https://www.rnib.org.uk/your-eyes/eye-conditions-az/congenital-cataracts/
    The nurses will show you how to put drops into your child’s eye before they are discharged from the hospital. Putting drops and/or ointments into a baby’s eye can be tricky. […] After cataract surgery children usually need glasses or contact lenses. This is because the artificial lens implant or contact lens used to replace your child’s natural lens has a fixed focus. This means it can’t change shape to focus clearly both near and in the distance as our natural eye lens can. […] The ophthalmologist will monitor your baby’s eye very carefully after surgery. This will include checking the health of your child’s eye(s), the eye pressure, the focusing power of the eye, as well as vision. Your child’s glasses or contact lenses must be kept up to date to ensure the developing brain is being shown a clear image.
  • #94 CONGENITAL CATARACTS – Nurses Revision
    https://nursesrevisionuganda.com/congenital-cataracts/
    Nursing Diagnosis: Disturbed visual sensory perception related to altered sensory reception or status of sense organs as evidenced by the patient using hand to locate environment. […] Surgery is the mainstay of treatment for congenital cataracts. […] Pediatric ophthalmologists who specialize in congenital cataract surgery perform the procedure. […] Children with congenital cataracts require long-term follow-up and monitoring by a pediatric ophthalmologist. […] Regular eye examinations are essential to assess visual acuity, monitor for any complications, and adjust treatment as needed.
  • #95 Congenital Cataract Treatment & Management: Medical Care, Surgical Care, Consultations
    https://emedicine.medscape.com/article/1210837-treatment
    A known complication of this surgery is aphakic glaucoma. […] An ophthalmology consultation is essential to prevent visual loss as well as to make the appropriate diagnosis of congenital cataracts. […] Evaluation of the red reflex is essential not only in the newborn nursery, but also in subsequent pediatric office visits to identify and address the potential presence of a congenital cataract in a timely manner. […] After surgical management of visually significant cataracts, patients require lifelong follow up. […] Throughout childhood, frequent monitoring and management of refractive error, amblyopia, and possible glaucoma is necessary. […] Patients with congenital cataracts that are not visually significant also should be monitored to ensure that the cataracts do not progress to become visually significant.
  • #96 Cataracts in children: Prevent vision loss with early detection and treatment | Eyes and Vision | Pediatrics | UT Southwestern Medical Center
    https://utswmed.org/medblog/cataracts-children-prevent-vision-loss-early-detection-and-treatment/
    Cataracts can return after surgery especially in very young children. However, if the rejuvenated lens material does not block the visual pathway, it can be observed with close follow up. It is important to keep regular eye exams to allow for early detection of recurrent cataracts and prevent long-term risk conditions as such glaucoma. […] Children whose cataracts are diagnosed and treated promptly have an excellent chance of growing up without significant vision impairment. We will work with you and your child to develop an individualized plan that addresses their specific needs to give them the best possible visual outcome.
  • #97
    https://www.singhealth.com.sg/patient-care/conditions-treatments/childhood-cataract
    However, if the cataract affects the child’s vision, then surgery is required. […] Infants with very thick cataracts from birth may need to have surgery when 2 or 3 months old. […] In older children, timing of surgery depends on the duration and type of cataracts, but usually early treatment is recommended to prevent lazy eye. […] If cataract is diagnosed very late (9 years old), when lazy eye has already occurred, then vision is sometimes unrecoverable. […] Surgery involves the removal of the cataract to allow for clear vision. […] After the surgery, the child will be watched closely for problems such as infection and increased eye pressure. […] Subsequently, long-term care includes monitoring the development of the child’s vision (Eg. with glasses, contact lenses, patching as required), other problems like increased eye pressure, posterior capsular opacification (cloudy film behind lens implant after surgery that can cause cloudy vision) and retinal detachment.
  • #98 Cataract (Nursing) – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/sites/books/NBK568765/
    Health Teaching and Health Promotion: […] – The patients should receive education about: […] – Risk factors of the disease […] – Complications of the disease […] – Treatment options of the disease […] – Complications of the surgery […] – The regular need for a follow-up […] Risk Management: […] – After eye injury, refer the patient to the ophthalmologist. […] – Always assess visual acuity when there are vision-related issues. […] – Document everything […] Discharge Planning: […] – Wear sunglasses when going out […] – Wear protective eye wear like face shield when working with hazardous fluids and playing sports […] – Get regular eye exams […] – Comply with medications […] Diagnosis and treatment of cataracts require an interdisciplinary team approach, to include primary care providers (physicians, PAs, NPs), specialists (ophthalmologists, ophthalmic surgeons), and nursing support. This approach helps to ensure timely and effective patient care and optimal outcomes.
  • #99
    https://journals.lww.com/pajo/fulltext/2024/08300/childhood_cataract_in_indian_subcontinent_.4.aspx
    A child with multiple disabilities needs a multidisciplinary approach, and hence cataract surgery may not be given priority at that moment. […] Cataract surgeries in children must be ideally performed by a trained pediatric ophthalmologist. […] Amblyopia, PCO, and changing refraction are some of the issues that need proper counseling and management for the restoration of vision in a child blind due to a cataract. […] Visual rehabilitation in children after cataract surgery is a long-term complex pathway with cataract surgery being the beginning of this journey. […] Teamwork is essential in managing pediatric cataracts. […] Parents and teachers must have a coordinated discussion before enrolling a low-vision child in special schools. […] If these challenges are not addressed, the cataract will remain a major cause of childhood blindness and low vision in India for many years. […] The success of any program lies in understanding the disease course, its perception in the community, and the barriers to the delay in seeking treatment. […] Strategies must be practical, affordable, and acceptable as needed.
  • #100
    https://journals.lww.com/pajo/fulltext/2024/08300/childhood_cataract_in_indian_subcontinent_.4.aspx
    A child with multiple disabilities needs a multidisciplinary approach, and hence cataract surgery may not be given priority at that moment. […] Cataract surgeries in children must be ideally performed by a trained pediatric ophthalmologist. […] Amblyopia, PCO, and changing refraction are some of the issues that need proper counseling and management for the restoration of vision in a child blind due to a cataract. […] Visual rehabilitation in children after cataract surgery is a long-term complex pathway with cataract surgery being the beginning of this journey. […] Teamwork is essential in managing pediatric cataracts. […] Parents and teachers must have a coordinated discussion before enrolling a low-vision child in special schools. […] If these challenges are not addressed, the cataract will remain a major cause of childhood blindness and low vision in India for many years. […] The success of any program lies in understanding the disease course, its perception in the community, and the barriers to the delay in seeking treatment. […] Strategies must be practical, affordable, and acceptable as needed.
  • #101
    https://journals.lww.com/pajo/fulltext/2024/08300/childhood_cataract_in_indian_subcontinent_.4.aspx
    A child with multiple disabilities needs a multidisciplinary approach, and hence cataract surgery may not be given priority at that moment. […] Cataract surgeries in children must be ideally performed by a trained pediatric ophthalmologist. […] Amblyopia, PCO, and changing refraction are some of the issues that need proper counseling and management for the restoration of vision in a child blind due to a cataract. […] Visual rehabilitation in children after cataract surgery is a long-term complex pathway with cataract surgery being the beginning of this journey. […] Teamwork is essential in managing pediatric cataracts. […] Parents and teachers must have a coordinated discussion before enrolling a low-vision child in special schools. […] If these challenges are not addressed, the cataract will remain a major cause of childhood blindness and low vision in India for many years. […] The success of any program lies in understanding the disease course, its perception in the community, and the barriers to the delay in seeking treatment. […] Strategies must be practical, affordable, and acceptable as needed.
  • #102 Pediatric Cataracts | Cataracts in Children | Cizik Eye Clinic
    https://www.cizikeyedoctors.org/clinical-services/pediatric-cataracts
    Cataracts, or clouding of the lenses, are common and expected with aging, but rare cases develop in babies and children. Managing pediatric cataracts can be difficult, but thorough treatment is important because cataracts can lead to damage in the connections between the brain and eye, causing vision loss and even blindness. […] A comprehensive team that includes the parents, pediatrician, ophthalmologists, and low-vision rehabilitation specialists should be involved in your child’s care to provide the best results. […] Most children need surgery to correct cataracts and then ongoing treatment to repair the eye-brain connection. If the child is old enough, the cloudy lens will be surgically replaced with an artificial plastic lens. After surgery, antibiotic eye drops will be prescribed. Patients normally go home the same day as surgery. Vision may be blurry, and the eyes may be itchy for a few days following surgery. […] It will be critical to make sure your child sees their ophthalmologist regularly after surgery to check for common complications, such as glaucoma or amblyopia. Additionally, most children will need contact lenses or glasses to maximize their visual development.
  • #103
    https://www.nhs.uk/conditions/childhood-cataracts/
    The affected lens may sometimes be replaced with an artificial lens during surgery. […] But it’s more common for the child to wear contact lenses or glasses after surgery to compensate for the lens that was removed. […] Cataracts that affect vision that are not quickly treated can sometimes cause irreversible damage to eyesight, including a permanently lazy eye and even blindness in severe cases. […] Cataract surgery is generally successful, with a low risk of serious complications. […] Although some of the possible complications of cataract surgery can affect your child’s vision, they can often be treated with medicine or further surgery. […] It’s not usually possible to prevent cataracts, particularly those that are inherited (run in the family). […] But following the advice of your midwife or a GP to avoid infections during pregnancy (including making sure all your vaccinations are up to date before getting pregnant) may reduce the chances of your child being born with cataracts. […] If your child has had cataracts, your clinical team will pass information about him or her on to the National Congenital Anomaly and Rare Disease Registration Service (NCARDRS).
  • #104
    https://www.nhs.uk/conditions/childhood-cataracts/
    The affected lens may sometimes be replaced with an artificial lens during surgery. […] But it’s more common for the child to wear contact lenses or glasses after surgery to compensate for the lens that was removed. […] Cataracts that affect vision that are not quickly treated can sometimes cause irreversible damage to eyesight, including a permanently lazy eye and even blindness in severe cases. […] Cataract surgery is generally successful, with a low risk of serious complications. […] Although some of the possible complications of cataract surgery can affect your child’s vision, they can often be treated with medicine or further surgery. […] It’s not usually possible to prevent cataracts, particularly those that are inherited (run in the family). […] But following the advice of your midwife or a GP to avoid infections during pregnancy (including making sure all your vaccinations are up to date before getting pregnant) may reduce the chances of your child being born with cataracts. […] If your child has had cataracts, your clinical team will pass information about him or her on to the National Congenital Anomaly and Rare Disease Registration Service (NCARDRS).
  • #105 Congenital Cataract Treatment & Management: Medical Care, Surgical Care, Consultations
    https://emedicine.medscape.com/article/1210837-treatment
    A known complication of this surgery is aphakic glaucoma. […] An ophthalmology consultation is essential to prevent visual loss as well as to make the appropriate diagnosis of congenital cataracts. […] Evaluation of the red reflex is essential not only in the newborn nursery, but also in subsequent pediatric office visits to identify and address the potential presence of a congenital cataract in a timely manner. […] After surgical management of visually significant cataracts, patients require lifelong follow up. […] Throughout childhood, frequent monitoring and management of refractive error, amblyopia, and possible glaucoma is necessary. […] Patients with congenital cataracts that are not visually significant also should be monitored to ensure that the cataracts do not progress to become visually significant.
  • #106 Childhood Cataracts: Definition, Causes, Symptoms, Diagnosis, and Treatment
    https://www.oscarwylee.com.au/glasses/eye/childhood-cataracts?srsltid=AfmBOopDL4zegSJm0czlRYFSlE2ROoJ1QKpLf2FSSm7QURuQyvxXXeMN
    The symptoms of cataracts in children include nystagmus or uncontrollable eye movements, bringing things closer to see, sensitivity to light and the eye lens becoming cloudy or white. […] Childhood cataracts can be diagnosed in the same way other eye conditions are diagnosed, through an eye test by an eye care professional. […] Early childhood cataracts cannot be reversed but they can be treated with surgery. […] Childhood cataracts are treated in a similar way to adult cataracts, which includes corrective devices such as glasses and contact lenses, and surgery. […] Childhood cataracts typically need eye surgery as soon as possible. […] The risks involved in cataract surgery include infection, loss of vision, retinal detachment and development of glaucoma. […] Cataracts are not typically preventable, although there are certain ways to prevent certain causes of cataracts such as wearing eye protection when playing sports to reduce the risk of developing traumatic cataracts due to an eye injury.
  • #107 Childhood Cataracts: Definition, Causes, Symptoms, Diagnosis, and Treatment
    https://www.oscarwylee.com.au/glasses/eye/childhood-cataracts?srsltid=AfmBOopDL4zegSJm0czlRYFSlE2ROoJ1QKpLf2FSSm7QURuQyvxXXeMN
    The symptoms of cataracts in children include nystagmus or uncontrollable eye movements, bringing things closer to see, sensitivity to light and the eye lens becoming cloudy or white. […] Childhood cataracts can be diagnosed in the same way other eye conditions are diagnosed, through an eye test by an eye care professional. […] Early childhood cataracts cannot be reversed but they can be treated with surgery. […] Childhood cataracts are treated in a similar way to adult cataracts, which includes corrective devices such as glasses and contact lenses, and surgery. […] Childhood cataracts typically need eye surgery as soon as possible. […] The risks involved in cataract surgery include infection, loss of vision, retinal detachment and development of glaucoma. […] Cataracts are not typically preventable, although there are certain ways to prevent certain causes of cataracts such as wearing eye protection when playing sports to reduce the risk of developing traumatic cataracts due to an eye injury.
  • #108 Childhood Cataracts: Definition, Causes, Symptoms, Diagnosis, and Treatment
    https://www.oscarwylee.com.au/glasses/eye/childhood-cataracts?srsltid=AfmBOopDL4zegSJm0czlRYFSlE2ROoJ1QKpLf2FSSm7QURuQyvxXXeMN
    The symptoms of cataracts in children include nystagmus or uncontrollable eye movements, bringing things closer to see, sensitivity to light and the eye lens becoming cloudy or white. […] Childhood cataracts can be diagnosed in the same way other eye conditions are diagnosed, through an eye test by an eye care professional. […] Early childhood cataracts cannot be reversed but they can be treated with surgery. […] Childhood cataracts are treated in a similar way to adult cataracts, which includes corrective devices such as glasses and contact lenses, and surgery. […] Childhood cataracts typically need eye surgery as soon as possible. […] The risks involved in cataract surgery include infection, loss of vision, retinal detachment and development of glaucoma. […] Cataracts are not typically preventable, although there are certain ways to prevent certain causes of cataracts such as wearing eye protection when playing sports to reduce the risk of developing traumatic cataracts due to an eye injury.
  • #109 Childhood Cataracts: Definition, Causes, Symptoms, Diagnosis, and Treatment
    https://www.oscarwylee.com.au/glasses/eye/childhood-cataracts?srsltid=AfmBOopDL4zegSJm0czlRYFSlE2ROoJ1QKpLf2FSSm7QURuQyvxXXeMN
    The symptoms of cataracts in children include nystagmus or uncontrollable eye movements, bringing things closer to see, sensitivity to light and the eye lens becoming cloudy or white. […] Childhood cataracts can be diagnosed in the same way other eye conditions are diagnosed, through an eye test by an eye care professional. […] Early childhood cataracts cannot be reversed but they can be treated with surgery. […] Childhood cataracts are treated in a similar way to adult cataracts, which includes corrective devices such as glasses and contact lenses, and surgery. […] Childhood cataracts typically need eye surgery as soon as possible. […] The risks involved in cataract surgery include infection, loss of vision, retinal detachment and development of glaucoma. […] Cataracts are not typically preventable, although there are certain ways to prevent certain causes of cataracts such as wearing eye protection when playing sports to reduce the risk of developing traumatic cataracts due to an eye injury.
  • #110
    https://www.singhealth.com.sg/patient-care/conditions-treatments/childhood-cataract
    However, if the cataract affects the child’s vision, then surgery is required. […] Infants with very thick cataracts from birth may need to have surgery when 2 or 3 months old. […] In older children, timing of surgery depends on the duration and type of cataracts, but usually early treatment is recommended to prevent lazy eye. […] If cataract is diagnosed very late (9 years old), when lazy eye has already occurred, then vision is sometimes unrecoverable. […] Surgery involves the removal of the cataract to allow for clear vision. […] After the surgery, the child will be watched closely for problems such as infection and increased eye pressure. […] Subsequently, long-term care includes monitoring the development of the child’s vision (Eg. with glasses, contact lenses, patching as required), other problems like increased eye pressure, posterior capsular opacification (cloudy film behind lens implant after surgery that can cause cloudy vision) and retinal detachment.
  • #111 Cataracts in children: Prevent vision loss with early detection and treatment | Eyes and Vision | Pediatrics | UT Southwestern Medical Center
    https://utswmed.org/medblog/cataracts-children-prevent-vision-loss-early-detection-and-treatment/
    Cataracts can return after surgery especially in very young children. However, if the rejuvenated lens material does not block the visual pathway, it can be observed with close follow up. It is important to keep regular eye exams to allow for early detection of recurrent cataracts and prevent long-term risk conditions as such glaucoma. […] Children whose cataracts are diagnosed and treated promptly have an excellent chance of growing up without significant vision impairment. We will work with you and your child to develop an individualized plan that addresses their specific needs to give them the best possible visual outcome.
  • #112 Cataracts in children: Prevent vision loss with early detection and treatment | Eyes and Vision | Pediatrics | UT Southwestern Medical Center
    https://utswmed.org/medblog/cataracts-children-prevent-vision-loss-early-detection-and-treatment/
    Cataracts can return after surgery especially in very young children. However, if the rejuvenated lens material does not block the visual pathway, it can be observed with close follow up. It is important to keep regular eye exams to allow for early detection of recurrent cataracts and prevent long-term risk conditions as such glaucoma. […] Children whose cataracts are diagnosed and treated promptly have an excellent chance of growing up without significant vision impairment. We will work with you and your child to develop an individualized plan that addresses their specific needs to give them the best possible visual outcome.
  • #113 Cataracts in Children | Kaiser Permanente
    https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.cataracts-in-children.tx4356
    Cataracts are rare in babies and children. But children may be born with cataracts or develop them as a baby, child, or adolescent. […] Children who have vision problems from cataracts usually need surgery to remove the cataract. This is done to help prevent lasting vision loss and to be sure that the child develops the best vision possible. After surgery, the child may need to wear a patch on one of their eyes, wear contact lenses or glasses, or use eyedrops. They may need to do one of these things or some combination of them. […] Early treatment is best. Having cataract surgery in the first few months of life can lower a child’s risk of having other vision problems.
  • #114 Pediatric cataracts – Children’s Health Ophthalmology (Eye)
    https://www.childrens.com/specialties-services/conditions/cataracts
    Studies show that infants with a cataract should have surgery between four and six weeks of age. […] With proper treatment, children with cataracts usually go on to lead normal, healthy lives. Without treatment, kids may develop more serious disorders such as amblyopia (lazy eye), which can lead to blindness later on.
  • #115 Cataracts in Children | Children’s Hospital of Philadelphia
    https://www.chop.edu/conditions-diseases/cataracts-children
    A pediatric ophthalmologist should be seen immediately if there is concern for a vision issue or cataract in a child. […] The goal of cataract treatment in children is to: Maximize and optimize your child’s vision and visual development. […] Long-term follow-up is important after cataract surgery in children. […] Frequent visits are required to monitor and maximize visual development and check for common complications, such as amblyopia, or elevated pressure in the eye (glaucoma). […] After cataract surgery, most children require contact lenses or glasses to allow for a clear and focused image and to maximize their visual development. […] Cataracts can cause severe vision loss in children, but fortunately if treated promptly this can be fully averted. Treatment is often highly successful as long as children and families stick to the treatment plan. […] At Children’s Hospital of Philadelphia (CHOP), your child will be cared for by leaders in the field of pediatric ophthalmology clinical care, surgery and research.
  • #116 Cataract surgery for infants and children – Mayo Clinic
    https://www.mayoclinic.org/medical-professionals/pediatrics/news/cataract-surgery-for-infants-and-children/mac-20442671
    Bilateral cataract conditions caught at a reasonable age tend to have excellent outcomes. Provided complications such as glaucoma do not interrupt the progress, driving vision and even 20/20 vision in both eyes are not uncommon outcomes. […] For unilateral cataracts, the outcomes can also be good. However, because of the severe optical asymmetry between the eyes, the development of vision in the cataract eye may continue to struggle. Outcomes vary but are maximized by ideal optical correction through contacts, intraocular implant and glasses, and the family’s success with adhering to patching.
  • #117 Cataract surgery for infants and children – Mayo Clinic
    https://www.mayoclinic.org/medical-professionals/pediatrics/news/cataract-surgery-for-infants-and-children/mac-20442671
    Bilateral cataract conditions caught at a reasonable age tend to have excellent outcomes. Provided complications such as glaucoma do not interrupt the progress, driving vision and even 20/20 vision in both eyes are not uncommon outcomes. […] For unilateral cataracts, the outcomes can also be good. However, because of the severe optical asymmetry between the eyes, the development of vision in the cataract eye may continue to struggle. Outcomes vary but are maximized by ideal optical correction through contacts, intraocular implant and glasses, and the family’s success with adhering to patching.
  • #118 Cataract surgery for infants and children – Mayo Clinic
    https://www.mayoclinic.org/medical-professionals/pediatrics/news/cataract-surgery-for-infants-and-children/mac-20442671
    Bilateral cataract conditions caught at a reasonable age tend to have excellent outcomes. Provided complications such as glaucoma do not interrupt the progress, driving vision and even 20/20 vision in both eyes are not uncommon outcomes. […] For unilateral cataracts, the outcomes can also be good. However, because of the severe optical asymmetry between the eyes, the development of vision in the cataract eye may continue to struggle. Outcomes vary but are maximized by ideal optical correction through contacts, intraocular implant and glasses, and the family’s success with adhering to patching.
  • #119
    https://www.aao.org/eye-health/diseases/what-are-pediatric-cataracts
    After surgery, children often need some combination of contact lenses, IOLs, and glasses. If the child has lazy eye, he or she may need patching. You cover the stronger eye to stimulate vision in the weaker eye. […] Children who receive timely treatment and follow-up have a good prognosis. Your child may need years of vision rehabilitation to have a successful outcome.
  • #120 Azthena logo with the word Azthena
    https://www.news-medical.net/health/Cataracts-in-Children.aspx
    Cataracts are usually associated with old age and diminishing eyesight. However, it is possible for a child to be born with a cataract as well as to develop it over time. If your child is having trouble seeing things, you may want to get their eyes tested so that timely and appropriate medical treatment can be provided. […] If the cataract is not having too bad an effect on the vision of the child, the doctor will not recommend surgery. However, if it will affect the normal growth of the eye and cause impairment in sight development, surgery will be needed to remove the affected lens and replace it with an artificial one. […] For congenital bilateral cataracts, surgery is recommended within two months of life. […] Once the lens affected with cataract is removed, the vision will be extremely blurry. This is corrected in three possible ways using contact lenses, eye glasses, and with an intra-ocular lens. These artificial lenses enable the child to see clearly. […] The general prognosis of treatment is quite good. Childhood cataract if treated in time is not a problem to good eye sight in the adult years. Surgical intervention of a timely nature can save the vision of the child from further deteriorating.