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Congenital Cataract Surgery

Congenital Cataract Surgery

Congenital cataract surgery is a surgical intervention performed to correct a congenital opacity of the lens. This surgery is typically carried out within the first months or the first year of a baby’s life.

1. Objectives of the Surgery:

  • The primary goal of congenital cataract surgery is to remove the opaque congenital lens and replace it with a clear artificial lens (intraocular lens, IOL).
  • The surgery aims to correct optical defects of the eye to enhance visual quality.

2. PreSurgical Preparation:

  • The baby’s eye doctor or pediatric ophthalmologist conducts a detailed eye examination before the surgery.
  • Imaging tests and measurements of the eye are usually performed prior to the surgery.

3. Anesthesia and Surgical Technique:

  • Congenital cataract surgery is generally performed under general anesthesia, allowing the procedure to be conducted while the baby is asleep.
  • The surgery may involve making a small incision on the eye globe or through a hole made over the lens (pars plana vitrectomy).

4. Lens Implantation:

  • After the opaque natural lens is removed, a clear intraocular lens (IOL) is implanted.
  • The intraocular lens helps to restore the normal optical function of the eye.

5. PostSurgical Care:

  • After the surgery, some redness, watering, and mild pain in the eye are normal.
  • The eye doctor will monitor the baby’s eye health through postsurgical checkups.

6. Vision Rehabilitation:

  • After surgery, the baby often starts wearing glasses. Glasses can assist vision with optical corrections.
  • If necessary, participation in visual rehabilitation programs may be recommended to enhance the child’s visual capabilities.

Congenital cataract surgery, when performed in the early months of a baby’s life, usually yields successful results. However, like any surgery, congenital cataract surgery has its risks and complications. Therefore, it is important for parents to consider the recommendations of the pediatrician and eye doctor before the surgery.