Turkish Abstract Abstract PDF Similar Articles Mail to Author

¹İstanbul Eğitim ve Araştırma Hastanesi, Göz Hastalıkları Kliniği, İstanbul, Uzm. Dr.
²İstanbul Eğitim ve Araştırma Hastanesi, Göz Hastalıkları Kliniği, İstanbul, Prof. Dr.
³İstanbul Eğitim ve Araştırma Hastanesi, Göz Hastalıkları Kliniği, İstanbul, Doç. Dr. Congenital cataract is the leading cause of preventable blindness among children. Blindness due to congenital cataract is seen more frequently in developing countries. It is most frequently idiopathic. Monocular congenital cataract is more frequently associated with ocular anomalies and the prognosis is worse even with timely intervention. Bilateral congenital cataract is more frequently associated with systemic anomalies however visual prognosis is better when compared to monocular congenital cataract. Early surgery is very important however the surgery may be postponed at least four weeks postnatally due to the high incidence of peroperative and postoperative complications. Postsurgical amblyopia treatment in accordance with refractive correction should be started as soon as possible. The lowest acceptable age limit for intraocular lens implantation is getting progressively earlier for bilateral congenital cataracts. Since ambliopia treatment and final visual acquity is not satisfactory with the conventional approaches in patients with monocular congenital cataract, there is a tendency to implant an intraocular lens in every eye that is anatomically suitable regardless of the age of the patient in an attempt to help amblyopia treatment or to obviate the need for a second operation. Prevention of posterior capsule opacification is more important in children than in adults since it prevents an effective amblyopia treatment. In children posterior continuous curvilinear capsulorhexis and anterior vitrectomy is critical and in some age groups it is more important than the lens material for prevention of posterior capsule opacification. Keywords : Congenital cataract, amblyopia, posterior capsule opacification, posterior capsulorhexis, anterior vitrectomy