Patient's question:
At the time, I noticed my eyes looked like cat eyes, but I didn't pay much attention. By the 7th month, I found white spots and went to Tongren Hospital for a check-up. They diagnosed congenital cataracts. The child is not very active, but their spirit, appetite, and food intake are normal. Their weight is normal, but their height is slightly shorter. They don't like to talk and are somewhat delayed in development. The check-up showed a delay of two months. The onset was at the child's 7th month.Doctor's answer:
Hello, if your child has already undergone cataract surgery, the specific postoperative condition of the patient needs to be assessed to determine whether a second surgery is necessary. After children develop congenital cataracts, it can affect visual development and easily lead to amblyopia. Treatment should be initiated when the cataract is complete in one or both eyes, or when it is centrally located on the visual axis with significant opacity. Surgery should be performed as early as possible, no later than 6 months.2. For bilateral cataracts, the second eye should undergo surgery within a relatively short interval.
At the age of 3, your child was diagnosed with congenital cataracts and requires surgery to implant an intraocular lens.
Cataracts in children are commonly classified as congenital or traumatic. Congenital cataracts are the most prevalent type. Congenital cataracts occur due to abnormal lens development during fetal growth in the womb, caused by either endogenous factors (such as chromosomal inheritance) or exogenous factors (such as fetal or maternal systemic diseases that affect lens embryonic development, leading to opacity).
Guidance:
Personal recommendation: Typically, cataract extracapsular extraction (including phacoemulsification) combined with intraocular lens implantation is preferred. In exceptional cases, cataract intracapsular extraction may also be performed. After surgery, vision can be corrected with glasses or contact lenses. For congenital cataracts, lens resection or lens aspiration may be considered. Refractive correction and vision training should be conducted to prevent amblyopia and promote the development of fusion functions.
Wishing your baby good health.