Cataract surgery in children: controversies and practices

Nepalese Journal of Ophthalmology : a Biannual Peer-reviewed Academic Journal of the Nepal Ophthalmic Society : NEPJOPH
U D Shrestha

Abstract

Pediatric cataract is totally different from adult cataract. The objective of this review article is to describe the peculiarities of pediatric cataract and the controversies and practices in pediatric cataract surgery. The differences in the surgical technique are discussed in the article. There are lots of controversies regarding IOL implantation in children. The result of the review is that the pediatric cataract surgery should be performed in between 6-8 weeks of age. There is no contra-indication for IOL implantation. Surgeons can implant either polymethylmethacrylate (PMMA) or Acrysoft foldable IOL.

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