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Pediatric cataracts
Review   Peer reviewed

Pediatric cataracts

Daniel Kohansby and Andrew S. Gurwood
Clinical Eye and Vision Care, v 9(2), pp 85-93
Jun 1997

Abstract

Amblyopia Anisekonia Aphakia Capsulotomy Cortex Leukocoria Nucleus
Congenital and acquired pediatric cataracts are recognized by many as being among the visually devastating pathologies of children. They remain one of the leading causes of legal blindness for children in under developed countries world wide. Diagnosed in approximately 400–500 patients per year in the United States alone, their presence requires agressive management with concurrent amblyopia therapy. Although most pediatric opacities are idiopathic, systemic etiologies which include genetic inheritance (Fabry's disease, Lowe's syndrome, Conradi's syndrome) metabolic disturbances (Galactosemia, Hypocalcemia, hypoglycemia, retinitis pigmentosa), infectious diseases (maternal syphilis, varicella virus, herpes virus, cytomegalovirus), toxic substances and trauma must be investigated. We reviewed the literature for pertinent information on the differential diagnosis of congenital and acquired cataracts in the pediatric population. The modalities and techniques of the pediatric examination are presented along with a discussion of the maladies, most recent advances in surgical intervention, optical or contact lens correction and amblyopia therapy associated with pediatric cataracts.

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