Original scientific paper
Visual Rehabilitation after Congenital Cataract Surgery
Biserka Baćani
Maja Čorak
Zdravko Mandić
Abstract
The purpose of this paper is to show the postoperative visual rehabilitation of children who underwent congenital cataract surgery. Altogether there were 54 eyes (34 children) observed depending on the age of children at the time of surgery, on the kind of cataract, on the associated eye anomalies and the kind and power of optical correction. According to our results (and the results of other respectable authors) we recommend that congenital cataract surgery should be performed as soon as possible, especially by total and by monocular cataract. At the age 2-3 it is necessary to implant an intraocular lenses, but in the monocular cataract even earlier.
We choose the power of the IOL in order to make the eye emetropic at the time of the surgery. We correct the subsequent myopy with contact lenses or glasses. In children who did not have the IOL implanted, contact lenses must be applied immediately.
In case of a monocular cataract it is necessary to start the treatment of the ambliopy by the occlusion of the better eye immediately after surgery.
Keywords
Congenital cataract; surgical treatment; postoperative visual rehabilitation; deprivation ambliopy
Hrčak ID:
15006
URI
Publication date:
1.11.2002.
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