{"id":11409,"date":"2020-06-28T02:55:29","date_gmt":"2020-06-27T23:55:29","guid":{"rendered":"https:\/\/drborismalyugin.com\/operatsiya\/pediatric-cataract-surgery-with-iol-implantation\/vrozhdennaya-katarakta"},"modified":"2020-08-16T17:25:15","modified_gmt":"2020-08-16T14:25:15","slug":"congenital-cataracts","status":"publish","type":"operatsiya","link":"https:\/\/drborismalyugin.com\/en\/operatsiya\/pediatric-cataract-surgery-with-iol-implantation\/congenital-cataracts","title":{"rendered":"Congenital cataracts"},"content":{"rendered":"<section class=\"l-section wpb_row height_custom\"><div class=\"l-section-h i-cf\"><div class=\"g-cols vc_row via_flex valign_top type_default stacking_default\"><div class=\"vc_col-sm-12 wpb_column vc_column_container\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\"><div class=\"wpb_text_column\"><div class=\"wpb_wrapper\"><p>When treating congenital cataract, the ophthalmologist must make a balanced decision between performing surgery immediately and postponing it until the baby grows and gets stronger. The clouding of the lens can be complete or partial. It can affect one or two eyes. In cases where cataract is suspected, the child needs urgent examination in a specialized eye clinic.<\/p>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/section><section class=\"l-section wpb_row height_custom color_alternate\"><div class=\"l-section-h i-cf\"><div class=\"g-cols vc_row via_flex valign_top type_default stacking_default\"><div class=\"vc_col-sm-12 wpb_column vc_column_container\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\"><div class=\"w-iconbox us_custom_70facfb4 iconpos_left style_default color_secondary align_left no_text\"><div class=\"w-iconbox-icon\" style=\"font-size:3rem;\"><i class=\"fad fa-eye\"><\/i><\/div><div class=\"w-iconbox-meta\"><h2 class=\"w-iconbox-title\" style=\"font-size:1.2rem;\">Congenital cataract: signs and symptoms<\/h2><\/div><\/div><div class=\"wpb_text_column\"><div class=\"wpb_wrapper\"><ul>\n<li>White pupil is present.<\/li>\n<li>Child does not follow a moving object or toy.<\/li>\n<\/ul>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/section><section class=\"l-section wpb_row height_custom\"><div class=\"l-section-h i-cf\"><div class=\"g-cols vc_row via_flex valign_top type_default stacking_default\"><div class=\"vc_col-sm-12 wpb_column vc_column_container\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\"><div class=\"w-iconbox us_custom_70facfb4 iconpos_left style_default color_secondary align_left no_text\"><div class=\"w-iconbox-icon\" style=\"font-size:3rem;\"><i class=\"fad fa-eye\"><\/i><\/div><div class=\"w-iconbox-meta\"><h2 class=\"w-iconbox-title\" style=\"font-size:1.2rem;\">Why is surgery urgently required?<\/h2><\/div><\/div><div class=\"wpb_text_column\"><div class=\"wpb_wrapper\"><p>If the disease is not treated before a certain age, there is a possibility of irreversible visual impairment. Diagnostic and therapeutic measures carried out during the first months and even weeks of life ensure the child\u2019s vision will develop correctly. Otherwise, a severe amblyopia (so-called \u00ablazy eye\u00bb syndrome) is highly likely to develop with subsequent serious consequences for the child\u2019s vision.<\/p>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/section><section class=\"l-section wpb_row height_auto width_full\"><div class=\"l-section-h i-cf\"><div class=\"g-cols vc_row via_flex valign_top type_default stacking_default\"><div class=\"vc_col-sm-12 wpb_column vc_column_container\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\"><section class=\"l-section wpb_row us_custom_938809ae height_auto color_primary\"><div class=\"l-section-h i-cf\"><div class=\"g-cols vc_row via_flex valign_middle type_default reversed stacking_default\"><div class=\"vc_col-sm-6 wpb_column vc_column_container\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\"><div class=\"w-image us_custom_1fd2f432 style_shadow-1 align_center\"><div class=\"w-image-h\"><img decoding=\"async\" width=\"358\" height=\"512\" src=\"https:\/\/drborismalyugin.com\/wp-content\/uploads\/malyugin-3-358x512.jpg\" class=\"attachment-medium size-medium\" alt=\"\" loading=\"lazy\" srcset=\"https:\/\/drborismalyugin.com\/wp-content\/uploads\/malyugin-3-358x512.jpg 358w, https:\/\/drborismalyugin.com\/wp-content\/uploads\/malyugin-3.jpg 601w\" sizes=\"auto, (max-width: 358px) 100vw, 358px\" \/><\/div><\/div><\/div><\/div><\/div><div class=\"vc_col-sm-6 wpb_column vc_column_container has_bg_color stretched\"><div class=\"vc_column-inner us_custom_df02dd93\"><div class=\"wpb_wrapper\"><div class=\"w-iconbox us_custom_70facfb4 iconpos_left style_default color_contrast align_center no_text\"><a href=\"tel:+74999065001\" class=\"w-iconbox-link\" aria-label=\"+7 (499) 906-50-01\"><div class=\"w-iconbox-icon\" style=\"font-size:2rem;\"><i class=\"fal fa-phone-alt\"><\/i><\/div><\/a><div class=\"w-iconbox-meta\"><h2 class=\"w-iconbox-title\"><a href=\"tel:+74999065001\" class=\"w-iconbox-link\" aria-label=\"+7 (499) 906-50-01\">+7 (499) 906-50-01<\/a><\/h2><\/div><\/div><div class=\"wpb_text_column\"><div class=\"wpb_wrapper\"><p style=\"text-align: center;\">You can make an appointment by phone from 8:30 to 19:30 (daily).<\/p>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/section>\n<\/div><\/div><\/div><\/div><\/div><\/section><section class=\"l-section wpb_row height_custom\"><div class=\"l-section-h i-cf\"><div class=\"g-cols vc_row via_flex valign_top type_default stacking_default\"><div class=\"vc_col-sm-12 wpb_column vc_column_container\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\"><div class=\"w-iconbox us_custom_70facfb4 iconpos_left style_default color_secondary align_left no_text\"><div class=\"w-iconbox-icon\" style=\"font-size:3rem;\"><i class=\"fad fa-eye\"><\/i><\/div><div class=\"w-iconbox-meta\"><h2 class=\"w-iconbox-title\" style=\"font-size:1.2rem;\">Surgical treatment of congenital cataract: indications<\/h2><\/div><\/div><div class=\"wpb_text_column\"><div class=\"wpb_wrapper\"><p>In cases of bilateral cataract, the intervention should be delayed for not more than 6\u20138 weeks of the child\u2019s life. During the first 2 months of life, surgery is required if the clouding of the lens is centrally located and exceeds 3.0 mm in diameter.<\/p>\n<p>Indications for surgery are also determined by a number of other factors, such as:<\/p>\n<ul>\n<li>Eye co-morbidity.<\/li>\n<li>General state of the child\u2019s health.<\/li>\n<li>Contraindications for general anaesthesia.<\/li>\n<li>Visual acuity (correct assessment is possible only in children from the age of 3-4 years).<\/li>\n<\/ul>\n<p>Early surgery is most often performed if vision is low or begins to fall sharply, indicating the progression of cataract. Congenital cataracts are of many different types:<\/p>\n<ul>\n<li>Complete.<\/li>\n<li>Zonular.<\/li>\n<li>Semi-absorbed.<\/li>\n<li>Atypical.<\/li>\n<li>Central.<\/li>\n<li>Anterior or posterior capsular.<\/li>\n<\/ul>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/section><section class=\"l-section wpb_row height_custom color_alternate\"><div class=\"l-section-h i-cf\"><div class=\"g-cols vc_row via_flex valign_top type_default stacking_default\"><div class=\"vc_col-sm-12 wpb_column vc_column_container\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\"><div class=\"w-iconbox us_custom_70facfb4 iconpos_left style_default color_secondary align_left no_text\"><div class=\"w-iconbox-icon\" style=\"font-size:3rem;\"><i class=\"fad fa-eye\"><\/i><\/div><div class=\"w-iconbox-meta\"><h3 class=\"w-iconbox-title\" style=\"font-size:1.2rem;\">Contraindications to the surgical treatment of cataract in children<\/h3><\/div><\/div><div class=\"wpb_text_column\"><div class=\"wpb_wrapper\"><ul>\n<li>General state of the child\u2019s health.<\/li>\n<li>Presence of ocular pathology, excluding the possibility of improving visual functions in the postoperative period.<\/li>\n<\/ul>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/section><section class=\"l-section wpb_row height_custom\"><div class=\"l-section-h i-cf\"><div class=\"g-cols vc_row via_flex valign_top type_default stacking_default\"><div class=\"vc_col-sm-12 wpb_column vc_column_container\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\"><div class=\"w-iconbox us_custom_70facfb4 iconpos_left style_default color_secondary align_left no_text\"><div class=\"w-iconbox-icon\" style=\"font-size:3rem;\"><i class=\"fad fa-eye\"><\/i><\/div><div class=\"w-iconbox-meta\"><h3 class=\"w-iconbox-title\" style=\"font-size:1.2rem;\">Congenital cataract: deciding whether IOL is the best optical correction method<\/h3><\/div><\/div><div class=\"wpb_text_column\"><div class=\"wpb_wrapper\"><p>Even for experienced surgeons, cataract surgery in children is quite challenging, full of risks and sometimes surprises. The opening of the anterior capsule presents one technical difficulty. Children\u2019s tissues are elastic and stretchable, making this stage of the operation is difficult to control. Surgeons sometimes say that the capsule \u201cruns away\u201d from them during the operation. In some cases, the surgeon addresses this challenge with the help of special surgical techniques or laser capsulotomy technologies.<\/p>\n<p>The most difficult and widely discussed challenge is the question of implanting the artificial lens (or IOL) in children. To date, the artificial lens is universally recognized as suitable and appropriate for implantation in children aged 6 months and more. For younger children, however consensus has remained elusive to date.<\/p>\n<p>Other options include eyeglasses or contact lenses. The final decision made by the physician is based on many factors. It should be noted that, if the artificial lens is not placed immediately, this can be done at some time later after the first operation, when the child grows and his eye becomes anatomically well developed and ready for the artificial lens.<\/p>\n<\/div><\/div><div class=\"w-message us_custom_0490361b color_red with_icon\"><div class=\"w-message-icon\"><i class=\"fas fa-engine-warning\"><\/i><\/div><div class=\"w-message-body\"><p>It is important to understand that the time factor in surgery for congenital cataract is directly associated with the preservation or loss of the child\u2019s vision. Which way this pendulum swings depends on timely diagnosis and initiation of treatment.<\/p>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/section>\n","protected":false},"featured_media":11241,"parent":11405,"menu_order":0,"template":"","meta":{"footnotes":""},"categories":[80],"tags":[],"class_list":["post-11409","operatsiya","type-operatsiya","status-publish","has-post-thumbnail","hentry","category-procedures"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/drborismalyugin.com\/en\/wp-json\/wp\/v2\/operatsiya\/11409","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/drborismalyugin.com\/en\/wp-json\/wp\/v2\/operatsiya"}],"about":[{"href":"https:\/\/drborismalyugin.com\/en\/wp-json\/wp\/v2\/types\/operatsiya"}],"version-history":[{"count":0,"href":"https:\/\/drborismalyugin.com\/en\/wp-json\/wp\/v2\/operatsiya\/11409\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/drborismalyugin.com\/en\/wp-json\/wp\/v2\/operatsiya\/11405"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/drborismalyugin.com\/en\/wp-json\/wp\/v2\/media\/11241"}],"wp:attachment":[{"href":"https:\/\/drborismalyugin.com\/en\/wp-json\/wp\/v2\/media?parent=11409"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/drborismalyugin.com\/en\/wp-json\/wp\/v2\/categories?post=11409"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/drborismalyugin.com\/en\/wp-json\/wp\/v2\/tags?post=11409"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}