Indian Journal of Ophthalmology

: 1995  |  Volume : 43  |  Issue : 4  |  Page : 159--176

Principles and paradigms of pediatric cataract management

Surendra Basti1, Mark J Greenwald2 
1 From the Cornea and Anterior Segment Service, L.V. Prasad Eye Institute, Hyderabad, India
2 Division of Ophthalmology, Children's Memorial Hospital, 2300, Children's Plaza, Chicago, IL 60614, USA

Correspondence Address:
Surendra Basti
L.V. Prasad Eye Institute, Road No. 2, Banjara Hills, Hyderabad 500 034

Propensity for increased postoperative inflammation and capsular opacification, a refractive state that is constantly in a state of flux due to growth of the eye, difficulty in documenting anatomic and refractive changes due to poor compliance, and a tendency to develop amblyopia, makes management of cataract in the child different from that in the adult. The recent past has unraveled several caveats of pediatric cataract management - the importance of atraumatic surgery and complete removal of lens matter, benefits of in-the-bag intraocular lens(IOL) implantation, role of titrating IOL power to counter refractive changes due to growth of the eye, prudery of continuously following these eyes for early detection of aphakic glaucoma and benefits of some surgical innovations. Although these promise to significantly improve our management of pediatric cataract, their long-term benefits are yet to be determined. We will also have to harness newer techniques, especially in the areas of wound construction and capsule management, and will have to develop effective strategies for the refractive management of infantile aphakia.

How to cite this article:
Basti S, Greenwald MJ. Principles and paradigms of pediatric cataract management.Indian J Ophthalmol 1995;43:159-176

How to cite this URL:
Basti S, Greenwald MJ. Principles and paradigms of pediatric cataract management. Indian J Ophthalmol [serial online] 1995 [cited 2023 Sep 21 ];43:159-176
Available from:;year=1995;volume=43;issue=4;spage=159;epage=176;aulast=Basti;type=0