Pediatric Cataract Surgery: Techniques, Complications, and Management

Pediatric Cataract Surgery: Techniques, Complications, and Management

by M. Edward Wilson
     
 

This is the first reference textbook to address the considerable challenges of managing cataracts in children. Content covers all details of pediatric cataracts and surgical techniques to treat and prevent visual impairment. Readers explore patient work-up, diagnosis, surgical techniques, and potential complications. Newly emerging topics, such as temporary

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Overview

This is the first reference textbook to address the considerable challenges of managing cataracts in children. Content covers all details of pediatric cataracts and surgical techniques to treat and prevent visual impairment. Readers explore patient work-up, diagnosis, surgical techniques, and potential complications. Newly emerging topics, such as temporary polypseudophakia, multifocal lenses, implant biocompatibility, intracapsular rings, and the use of capsular dyes in pediatric cataract surgery, are discussed in detail. Numerous tables and line diagrams and more than 200 full-color photographs clarify concepts.

Product Details

ISBN-13:
9780781743075
Publisher:
Lippincott Williams & Wilkins
Publication date:
02/28/2005
Pages:
320
Product dimensions:
8.70(w) x 11.20(h) x 0.80(d)

Table of Contents

    SECTION I: CHARACTERISTICS OF CATARACTS IN CHILDREN 1

  1. Embryology and Anatomy of the Human Crystalline Lens 1
  2. Etiology and Morphology of Pediatric Cataracts 6
  3. Genetics of Congenital Cataracts 14
  4. Epidemiology of Pediatric Cataracts and Associated Blindness 18

    SECTION II: PREOPERATIVE WORKUP 23

  5. Evaluation of Visually Significant Cataracts 23
  6. Informed Consent 27
  7. Intraocular Lens Power Calculation for Children 30

    SECTION III: CATARACT SURGERY IN CHILDREN 39

  8. Historical Overview 39
  9. Planning Pediatric Cataract Surgery: Diverse Issues 44
  10. Anesthetic Management of the Pediatric Patient with Cataracts 51
  11. Principles of Incision Construction in Pediatric Cataract Surgery 54
  12. Ophthalmic Viscosurgical Devices 59
  13. Anterior Capsule Management 68
  14. Multiquadrant Hydrodissection 77
  15. Lens Substance Aspiration 80
  16. Posterior Capsulotomy and Anterior Vitrectomy for the Management of Pediatric Cataracts 83
  17. Dye-Enhanced Pediatric Cataract Surgery 93
  18. Applications of the Fugo Blade 97
  19. Lensectomy and Anterior Vitrectomy When an Intraocular Lens Is Not Being Implanted 101
  20. Postoperative Medications and Follow-up 105

    SECTION IV: LENS IMPLANTATION IN CHILDREN 113

  21. Posterior Chamber Lens Implants: Currently Available Lens Designs and Future Application 113
  22. Intraocular Lens Types and Sizes for Pediatric Cataract Surgery 127
  23. Primary Intraocular Lens Implantation in Infantile Cataract Surgery 134
  24. AcrySof Intraocular Lens Implantation in Eyes with Pediatric Cataracts 139
  25. The Iris-Claw Lens (Artisan) 150
  26. Role of Optic Capture in Pediatric Cataract-Intraocular Lens Surgery 154
  27. Polypseudophakia 158
  28. Transscleral Suture Fixation of Posterior Chamber Intraocular Lenses 160
  29. Secondary Intraocular Lens Implantation 165

    SECTION V: ANATOMICAL ANOMALIES THAT MAY COMPLICATE CATARACT SURGERY 171

  30. Cataracts Associated with Type I Diabetes Mellitus 171
  31. Persistent Fetal Vasculature 174
  32. Cataract Surgery in Eyes with Retinopathy of Prematurity 179
  33. Cataract Surgery in Eyes Treated for Retinoblastoma 184
  34. Preexisting Posterior Capsule Defects 189
  35. Anterior Lenticonus in Alport Syndrome 194
  36. Aniridia and Cataracts 199
  37. Lowe Syndrome 203
  38. Dislocated Crystalline Lenses 205
  39. Pediatric Cataract Surgery in Eyes with Uveitis 211

    SECTION VI: INTRAOPERATIVE COMPLICATIONS AND POSTOPERATIVE SEQUELAE 217

  40. Intraoperative Complications of Pediatric Cataract-Intraocular Lens Surgery and Their Management 217
  41. Postoperative Complications of Pediatric Cataract-Intraocular Lens Surgery and Their Management 223
  42. Growth of Aphakic and Pseudophakic Eyes 230
  43. Opacification of the Ocular Media 236
  44. Postoperative Glaucoma 244
  45. Strabismus in Pediatric Aphakia and Pseudophakia 254
  46. Cystoid Macular Edema 257
  47. Retinal Detachment 263

    SECTION VII: FUNCTIONAL ISSUES 267

  48. Management of Residual Refractive Error After Intraocular Lens Implantation 267
  49. Aphakia 270
  50. Assessment of Visual Functions (Acuity, Contrast Sensitivity) and Amblyopia Management 278

    SECTION VIII: REFRACTIVE SURGERY 283

  51. Phakic Intraocular Lenses in Children 283
  52. Pediatric Refractive Surgery 289

    SECTION IX: MISCELLANEOUS ISSUES AND VIEWS 293

  53. Traumatic Cataracts in Children 293
  54. Pediatric Cataracts in Developing-World Settings 303
  55. Pediatric Cataract Surgery and Intraocular Lens Implantation: Practice Styles and Preferences of the 2001 ASCRS and AAPOS Membership 308
  56. Step-by-Step Approach for Management of Pediatric Cataracts 316
  57. My Preferred Approach 321

    Appendix 332

    Index 335

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