Pediatric Cataract Surgery: Techniques, Complications, and Management

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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.

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Product Details

  • ISBN-13: 9780781743075
  • Publisher: Lippincott Williams & Wilkins
  • Publication date: 2/28/2005
  • Pages: 320
  • Product dimensions: 8.70 (w) x 11.20 (h) x 0.80 (d)

Table of Contents

  1. SECTION I: CHARACTERISTICS OF CATARACTS IN CHILDREN 1

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

    SECTION II: PREOPERATIVE WORKUP 23

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

    SECTION III: CATARACT SURGERY IN CHILDREN 39

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

    SECTION IV: LENS IMPLANTATION IN CHILDREN 113

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

    SECTION V: ANATOMICAL ANOMALIES THAT MAY COMPLICATE CATARACT SURGERY 171

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

    SECTION VI: INTRAOPERATIVE COMPLICATIONS AND POSTOPERATIVE SEQUELAE 217

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

    SECTION VII: FUNCTIONAL ISSUES 267

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

    SECTION VIII: REFRACTIVE SURGERY 283

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

    SECTION IX: MISCELLANEOUS ISSUES AND VIEWS 293

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

    Appendix 332

    Index 335

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