Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2019, Vol. 33 ›› Issue (2): 143-148.doi: 10.6040/j.issn.1673-3770.0.2018.254

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Progress in the treatment of congenital cataract

CHEN Ying1,2, LI Yuanbin2   

  1. Department of Ophthalmology, Yantai Yuhuangding Hospital, Yantai 264000, Shandong, China
  • Published:2019-03-28

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Abstract: Congenital cataract is a common disease that can lead to blindness in children. Improvement in success rates have been observed owing to the development of microsurgical techniques. In children, the timing and methodology of surgery and selection of appropriate power of intraocular lens differs from that of adult cataract due to rapid growth of infantile eyes. In addition, when compared with adult cataract, congenital cataract is associated with higher rate of complications and requires long-term post-surgical training for correction of amblyopia. In view of the aforementioned characteristics, the present study reviewed the relevant literature, with the aim to provide insight into the treatment of congenital cataract.

Key words: Congenital cataract, Phacoemulsification, Intraocular lens, Visual reconstruction

CLC Number: 

  • R779.1
[1] Lambert SR, Lynn MJ, DuBois LG, et al. Axial elongation following cataract surgery during the first year of life in the infant aphakia treatment study[J]. Invest Ophthalmol Vis Sci, 2012, 53(12): 7539-7545. doi: 10.1167/iovs.12-10285.
[2] Wilson ME, Pandey SK, Thakur J. Paediatric cataract blindness in the developing world: surgical techniques and intraocular lenses in the new millennium[J]. Br J Ophthalmol, 2003, 87(1): 14-19.
[3] 傅培, 杨柳, 薄绍晔, 等. 全国0~6岁儿童视力残疾抽样调查[J]. 中华医学杂志, 2004, 84(18): 1545-1548. doi:10.3760/j:issn:0376-2491.2004.18.013. FU Pei, YANG Liu, BO Shaoye, et al. A national survey on low vision and blindness of 0-6 years old children in China[J]. National Medical Journal of China, 2004, 84(18): 1545-1548. doi:10.3760/j:issn:0376-2491.2004.18.013.
[4] YOU Caiyun, WU Xiaoming, ZHANG Yingying, et al. Visual impairment and delay in presentation for surgery in chinese pediatric patients with cataract[J]. Ophthalmology, 2011, 118(1): 17-23. doi:10.1016/j.ophtha.2010.04.014.
[5] Carrigan AK, DuBois LG, Becker ER, et al. Cost of intraocular lens versus contact lens treatment after unilateral congenital cataract surgery: retrospective analysis at age 1 year[J]. Ophthalmology, 2013, 120(1): 14-19. doi:10.1016/j.ophtha.2012.07.049.
[6] 张辉, 龙潭, 谢立信. 儿童先天性白内障治疗中存在的问题[J]. 中华医学杂志, 2012, 92(27): 1939-1941. doi:10.3760/cma.j.issn.0376-2491.2012.27.023.
[7] Vasavada AR, Vasavada V. Current Status of IOL implantation in pediatric eyes: an update[J]. Expert Rev Med Devices, 2017: 1-9. doi: 10.1080/17434440.2016.1271706.
[8] Watts P, Abdolell M, Levin AV. Complications in infants undergoing surgery for congenital cataract in the first 12 weeks of life: is early surgery better?[J]. J AAPOS, 2003, 7(2): 81-85. doi:10.1016/mpa.2003.S1091-853102420095.
[9] Solebo AL, Russell-Eggitt I, Cumberland PM, et al. Risks and outcomes associated with primary intraocular lens implantation in children under 2 years of age: the IoLunder2 cohort study[J]. Br J Ophthalmol, 2015, 99(11): 1471-1476. doi:10.1136/bjophthalmol-2014-306394.
[10] Serafino M, Trivedi RH, Levin AV, et al. Use of the Delphi process in paediatric cataract management[J]. Br J Ophthalmol, 2016, 100(5): 611-615. doi:10.1136/bjophthalmol-2015-307287.
[11] 任美侠, 周健. 先天性白内障的手术治疗[J]. 中国实用眼科杂志, 2012, 30(3): 231-235. doi:10.3760/cma.j.issn.1006-4443.2012.03.001.
[12] 刘奕志, 吴明星. 先天性白内障的手术治疗及展望[J]. 中国眼耳鼻喉科杂志, 2017, 17(2): 79-81,84. doi:10.14166/j.issn.1671-2420.2017.02.001. LIU Yizhi, WU Mingxing. Advances and outlook of congenital cataract surgery[J]. Chinese Journal of Ophthalmology and Otorhinolaryngology, 2017, 17(2): 79-81, 84. doi:10.14166/j.issn.1671-2420.2017.02.001.
[13] Nihalani BR, VanderVeen DK. Technological advances in pediatric cataract surgery[J]. Semin Ophthalmol, 2010, 25(5/6): 271-274. doi:10.3109/08820538.2010.518836.
[14] Ruth AL, Lambert SR. Amblyopia in the phakic eye after unilateral congenital cataract extraction[J]. J AAPOS, 2006, 10(6): 587-588. doi:10.1016/j.jaapos.2006.08.003.
[15] Li SY, Zhang ZP, Ji SJ, et al. Application of minimally invasive 23G vitrectomy via corneal approach for the treatment of pediatric cataract[J]. Eur Rev Med Pharmacol Sci, 2014, 18(17): 2413-2418.
[16] Kugelberg M, Zetterstr?m C. Pediatric cataract surgery with or without anterior vitrectomy[J]. Journal of Cataract & Refractive Surgery, 2002, 28(10): 1770-1773. doi:10.1016/s0886-3350(02)01332-9.
[17] Guo SQ, Wagner RS, Caputo A. Management of the anterior and posterior lens capsules and vitreous in pediatric cataract surgery[J]. J Pediatr Ophthalmol Strabismus, 2004, 41(6): 330-337.
[18] Memon MN, Bukhari S, Bhutto IA. Corneal approach 20 Guage vitrectomy system for the management of congenital cataract[J]. Pak J Med Sci, 2016, 32(2): 440-443. doi:10.12669/pjms.322.9149.
[19] Raina UK, Bhambhwani V, Gupta A, et al. Comparison of transcorneal and pars plana routes in pediatric cataract surgery in infants using a 25-gauge vitrectomy system[J]. J Pediatr Ophthalmol Strabismus, 2016, 53(2): 105-112. doi:10.3928/01913913-20160208-01.
[20] Chee KY, Lam GC. Management of congenital cataract in children younger than 1 year using a 25-gauge vitrectomy system[J]. J Cataract Refract Surg, 2009, 35(4): 720-724. doi:10.1016/j.jcrs.2008.12.012.
[21] Lin HT, Ouyang H, Zhu J, et al. Lens regeneration using endogenous stem cells with gain of visual function[J]. Nature, 2016, 531(7594): 323-328. doi:10.1038/nature17181.
[22] Boisvert C, Beverly DT, McClatchey SK. Theoretical strategy for choosing piggyback intraocular lens powers in young children[J]. J AAPOS, 2009, 13(6): 555-557. doi:10.1016/j.jaapos.2009.10.001.
[23] Lindsay RG, Chi JT. Contact lens management of infantile aphakia[J]. Clin Exp Optom, 2010, 93(1): 3-14. doi:10.1111/j.1444-0938.2009.00447.x.
[24] Lim ME, Buckley EG, Prakalapakorn SG. Update on congenital cataract surgery management[J]. Curr Opin Ophthalmol, 2017, 28(1): 87-92. doi:10.1097/ICU.0000000000000324.
[25] Kumar P, Lambert SR. Evaluating the evidence for and against the use of IOLs in infants and young children[J]. Expert Rev Med Devices, 2016, 13(4): 381-389. doi:10.1586/17434440.2016.1153967.
[26] Struck MC. Long-term results of pediatric cataract surgery and primary intraocular lens implantation from 7 to 22 months of life[J]. JAMA Ophthalmol, 2015, 133(10): 1180-1183. doi:10.1001/jamaophthalmol.2015.2062.
[27] Gupta A, Kekunnaya R, Ramappa M, et al. Safety profile of primary intraocular lens implantation in children below 2 years of age[J]. Br J Ophthalmol, 2011, 95(4): 477-480. doi:10.1136/bjo.2010.184606.
[28] Sukhija J, Ram J, Gupta N, et al. Re: Long-term results after primary intraocular lens implantation in children operated less than 2 years of age for congenital cataract[J]. Indian J Ophthalmol, 2015, 63(5): 464-465. doi:10.4103/0301-4738.159900.
[29] Kugelberg M, Kugelberg U, Bobrova N, et al. After-cataract in children having cataract surgery with or without anterior vitrectomy implanted with a single-piece AcrySof IOL[J]. Journal of Cataract & Refractive Surgery, 2005, 31(4): 757-762. doi:10.1016/j.jcrs.2004.08.044.
[30] Kleinmann G, Zaugg B, Apple DJ, et al. Pediatric cataract surgery with hydrophilic acrylic intraocular lens[J]. Journal of American Association for Pediatric Ophthalmology and Strabismus, 2013, 17(4): 367-370. doi:10.1016/j.jaapos.2013.04.007.
[31] Attia MS, Khoramnia R, Auffarth GU, et al. Near and intermediate visual and reading performance of patients with a multifocal apodized diffractive intraocular lens using an electronic reading desk[J]. J Cataract Refract Surg, 2016, 42(4): 582-590. doi:10.1016/j.jcrs.2015.11.047.
[32] Lapid-Gortzak R, van der Meulen IJ, Jellema HM, et al. Seven-year follow-up of unilateral multifocal pseudophakia in a child[J]. Int Ophthalmol, 2017, 37(1): 267-270. doi:10.1007/s10792-016-0232-5.
[33] Medsinge A, Nischal KK. Pediatric cataract: challenges and future directions[J]. Clin Ophthalmol, 2015, 9: 77-90. doi:10.2147/OPTH.S59009.
[34] Kavitha V, Balasubramanian P, Heralgi MM. Posterior iris fixated intraocular lens for pediatric traumatic cataract[J]. Middle East Afr J Ophthalmol, 2016, 23(2): 215-218. doi:10.4103/0974-9233.171777.
[35] Neely DE, Plager DA, Borger SM, et al. Accuracy of intraocular lens calculations in infants and children undergoing cataract surgery[J]. J AAPOS, 2005, 9(2): 160-165. doi:10.1016/j.jaapos.2004.12.010.
[36] 马勇, 王建萍. 先天性白内障人工晶状体度数的选择及植入术后对患儿眼轴发育及屈光状态的影响[J]. 国际眼科杂志, 2006, 6(3): 626-628. doi:10.3969/j.issn.1672-5123.2006.03.035. YONG Ma, JIANPING Wang. The choosing of intraocular lens power for children with congenital cataract and its postoperative influence on children's refractive change and axial growth[J]. International Journal of Ophthalmology, 2006, 6(3): 626-628. doi:10.3969/j.issn.1672-5123.2006.03.035.
[37] Lloyd IC, Ashworth J, Biswas S, et al. Advances in the management of congenital and infantile cataract[J]. Eye(Lond), 2007, 21(10): 1301-1309. doi:10.1038/sj.eye.6702845.
[38] Enyedi LB, Peterseim MW, Freedman SF, et al. Refractive changes after pediatric intraocular lens implantation[J]. Am J Ophthalmol, 1998, 126(6): 772-781.
[39] Plager DA, Kipfer H, Sprunger DT, et al. Refractive change in pediatric pseudophakia: 6-year follow-up[J]. J Cataract Refract Surg, 2002, 28(5): 810-815.
[40] 陈奕烨, 亢晓丽. 先天性白内障盲与低视力综合治疗的研究进展[J]. 中华眼科杂志, 2013, 49(5): 472-476. doi:10.3760/cma.j.issn.0412-4081.2013.05.024. CHEN Yiye, KANG Xiaoli. Integrated therapy of congenital cataract to prevent blindness and low vision[J]. Chinese Journal of Ophthalmology, 2013, 49(5): 472-476. doi:10.3760/cma.j.issn.0412-4081.2013.05.024.
[41] Birch EE, Wang JY, Felius J, et al. Fixation control and eye alignment in children treated for dense congenital or developmental cataracts[J]. Journal of American Association for Pediatric Ophthalmology and Strabismus, 2012, 16(2): 156-160. doi:10.1016/j.jaapos.2011.11.007
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