Challenges in Management of Pediatric Cataract (2024)

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JAMA Ophthalmology

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    Invited Commentary

    February 10, 2022

    Jeff YunglamHui,MB, ChB, MPH1

    Author Affiliations Article Information

    • 1Clarity Medical Group, Hong Kong, China

    JAMA Ophthalmol. 2022;140(3):276-277. doi:10.1001/jamaophthalmol.2021.6163

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    • Original Investigation Visual Acuity and Ophthalmic Outcomes 5 Years After Cataract Surgery Among Children

      Michael X.Repka,MD, MBA; Trevano W.Dean,MPH; Raymond T.Kraker,MSPH; ZhuokaiLi,PhD; Kimberly G.Yen,MD; Alejandra G.de Alba Campomanes,MD, MPH; Marielle P.Young,MD; BahramRahmani,MD; Kathryn M.Haider,MD; George F.Whitehead,MD; Scott R.Lambert,MD; Sudhi P.Kurup,MD; Courtney L.Kraus,MD; Susan A.Cotter,OD, MS; Jonathan M.Holmes,BM, BCh; Pediatric Eye Disease Investigator Group; Sharon F. Freedman; David K. Wallace; Laura B. Enyedi; SasapinPrakalapakorn; Sarah K.Jones; DeniseHug; Erin D. Stahl; Rebecca J. Dent; LingkunKong; SerenaWang; Bryan K.Gallerson; Amy K.Hutchinson; PhoebeLenhart; JudyBrower; David G.Morrison; Scott T.Ruark; RebeccaMets-Halgrimson; HawkeYoon; HantamalalaRalay-Ranaivo; Aaliyah Hamidullah; RaymondAreaux; Jill S.Anderson; Ann M. Holleschau; RosanneSuperstein; CarolineBelanger; NicoleFallaha; PatrickHamel; MaryseThibeault; Susanna M.Tamkins; TaChang; Hee-Jung S.Park; Anya A.Trumler; XiaonongLiu; William F.Astle; Emi N.Sanders; Elias Traboulsi; FatemaGhasia; Diana C.McOwen; Michael E.Gray; Michael B.Yang; Corey S.Bowman; JenniferGalvin; MargaretTherriault; HeatherSmith; Michele E.Whitaker; FarukOrge; Adriana P.Grigorian; Alicia M.Baird; Mitchell B.Strominger; VickiChen; ShelleyKlein; Jacquelyn D.Kemmer; Alexandra E.Neiman; Myra N. Mendoza; Jill J.Frohwein; DonBremer; CybilCassady; RichardGolden; CatherineJordan; DavidRogers; Sara A. Oravec; Tammy L.Yanovitch; KevenLunsford; ChristinaNye; CarolineShea; SueAnn M.Stillman; G. RobertLaRoche; Stephen C.Van Iderstine; ElisaRobertson; Oscar A.Cruz; RafifGhadban; DawnGovreau; Scott A.Larson; SusannahLongmuir; XiaoyanShan; Michael P.Clarke; KateTaylor; ChristinePowell; Benjamin P.Hammond; Matthew D.Gearinger; AndreaCzubinski; Dorothy H.Hendricks; JingJin; Jonathan H.Salvin; AliciaFisher; Katherine A.Lee; DanielBrooks; Bonita R.Schweinler; Nicholas A.Sala; Allyson M.Sala; Allison I.Summers; Daniel J.Karr; Lorri B.Wilson; Paula K.Rauch; MaryO'Hara; NandiniGandhi; TaniaHashmi; JeffreyColburn; EileenDittman; Charles R.Whitfill; Amy M.Wheeler; Emily A.McCourt; JasleenSingh; NanastasiaWelnick; Nathalie F.Azar; JosephBaker; Patrick J.Droste; Robert J. Peters; Jan Hilbrands; Stacy L. Pineles; Marianne J.Bernardo; Edward Peterson; Charla H.Peterson; KartikKumar; EphremMelese; RobertLingua; JeffGrijalva; Earl R.CrouchJr; Earl R.CrouchIII; GaylordVentura; WilliamAnninger; Shawn L.Benson; Karen A.Karp; Jordana M.Smith; JillBrickman-Kelleher; Benjamin H.Ticho; Alexander J.Khammar; Deborah A.Clausius; SuquinGuo; Donny Suh; CarolynChamberlain; SusanSchloff; William P.Madigan; Donna Burkman; Stephen P.Christiansen; Jean E.Ramsey; Kate H.McConnell; IlanaFriedman; JoseRosado; Donald P.Sauberan; Jody C.Hemberger; Patricia L.Davis; IndreRudaitis; Robert S.Lowery; ShawnCupit; Erick D. Bothun; Brian G.Mohney; Suzanne M.Wernimont; Rebecca A.Neilsen; Erin P. Herlihy; FrancineBaran; AmyGladstone; JustinSmith; MeiMellott; TroyKieser; S. AyseErzurum; BethColon; Birva Shah; MicaelaQuebbemann; Roy W.Beck; Darrell S.Austin; Nicole M.Boyle; Courtney L.Conner; Danielle L.Chandler; Quayleen Donahue; Brooke P.Fimbel; Julianne L.Robinson; AmraHercinovic; James E.Hoepner; Joseph D. Kaplon; Robert J. Henderson; B. Michele Melia; GillaineOrtiz; Victoria C. Woodard; Kathleen M.Stutz; Desirae R.Sutherland; RuiWu; Donald F.Everett; MarieDiener-West; John D.Baker; BarryDavis; Dale L.Phelps; Stephen W.Poff; Richard A.Saunders; LawrenceTychsen; Yasmin S.Bradfield; Nicole C.Foster; David A.Plager; Daniel J.Salchow; Eileen E. Birch; Ruth E.Manny; Jayne L.Silver; Katherine K.Weise; Lisa C.Verderber

      JAMA Ophthalmology

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    Although pediatric cataract is rare, it remains one of the leading causes of blindness in children. The worldwide prevalence varies between 2.2 and 13.6 per 10 000 children.1 Clinically, any lens opacification detected among children is defined as pediatric cataract. These cataracts are often associated with systemic and ocular comorbidities.

    The management of pediatric cataract can be challenging not only because of the special surgical techniques that are sometimes needed but also because of the special postoperative considerations that can occur, which may be associated with visual acuity and other ophthalmic outcomes. Some special considerations include the timing of surgery, whether to leave the eye aphakic or to implant an intraocular lens, and postoperatively, how to manage posterior capsular opacification,2 glaucoma that develops after surgery, and amblyopia and refractive errors.3,4

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    Cataract and Other Lens Disorders Ophthalmology Pediatrics

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    Hui JY. Challenges in Management of Pediatric Cataract. JAMA Ophthalmol. 2022;140(3):276–277. doi:10.1001/jamaophthalmol.2021.6163

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        Challenges in Management of Pediatric Cataract (2024)

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