This book aims to assist ophthalmologists in providing the best possible care for children with congenital cataracts. The entire patient pathway is covered, from preoperative assessment through application of the various surgical techniques to postoperative care and management of complications. Among the topics discussed are new developments in molecular genetics relevant to patient evaluation, intraocular lens power formulas, and the findings of the Infant Aphakia Treatment Study. The surgical section describes anterior capsulotomy, lensectomy, selection of intraocular lens (IOL) power, IOL implantation in the capsular bag, posterior capsulotomy techniques, the use of secondary IOLs and iris-fixated IOLs in children, and surgical management in developing countries. Visual outcomes after surgery are also fully addressed, with chapters on the occurrence of strabismus, nystagmus, and poor stereopsis.
- Assists provision of optimal care in children with congenital cataracts
- Clearly describes the various surgical techniques
- Explains preoperative assessment and perioperative care
Overview: History of Congenital Cataract Surgery.- Epidemiology of Congenital Cataract. Preoperative Assessment: The Role of Molecular Genetics in the Assessment of Children with Congenital Cataract.- Morphology of Congenital Cataracts.- Baseline Predictors of Visual Outcome. Surgical Techniques: Anterior Capsulotomy.- Lensectomy.- Selecting an IOL Power.- IOL Implantation in the Capsular Bag and Posterior Capsulotomy Techniques.- Secondary IOLs/ Iris Fixated IOLs in Children.- Management of Congenital Cataract in Developing Nations. Perioperative Care: Intraoperative and Postoperative Medication.- Amblyopia Therapy and Occlusion Regimens.- Contact Lens Correction of Aphakia.- Postoperative Complications After Pediatric Cataract Surgery.- Management of Aphakic/ Pseudophakic Glaucoma. Outcomes: Visual Outcomes.- Strabismus.- Nystagmus/Fixation Instability.- Stereopsis outcomes.
Scott R. Lambert, MD, is Professor of Pediatrics and Ophthalmology at Emory University, Atlanta, GA, USA. Since 1988 he has been Director of Pediatric Ophthalmology at the Emory Eye Clinic and Chief of Ophthalmology, Children’s Healthcare of Atlanta at Egleston. Dr. Lambert has been Chairman of the Infant Aphakia Treatment Study since 2004. He is Chairman of the Pediatric Ophthalmic Technology Assessment Committee (OTAC), American Academy of Ophthalmology, and an Executive Committee member of the Pediatric Eye Diseases Investigator Group (PEDIG). Dr. Lambert is the recipient of a Senior Achievement Award from the American Academy of Ophthalmology and a Senior Honor Award from the American Association for Pediatric Ophthalmology and Strabismus. He is a member of the editorial board of the Journal of the American Association of Pediatric Ophthalmology and Strabismus (AAPOS) and is the author of 136 peer-reviewed publications.
I. Christopher Lloyd, MB BS, FRCS (Eng), FRCOphth, is a Consultant Paediatric Ophthalmologist, at Manchester Royal Eye Hospital (a position he has held since 1995) and Honorary Professor of Paediatric Ophthalmology, Manchester Academic Health Science Centre, University of Manchester, Manchester, UK. Prior to joining MREH, he was a Clinical Research Fellow in Paediatric Ophthalmology at the Institute of Child Health/Hospital for Sick Children, Great Ormond Street, London. Dr. Lloyd is a member of the editorial board of Clinical and Experimental Ophthalmologyand in 2013 served as an international advisor to the Pediatric Disease Investigator Group (PEDIG). He is a board member of the European Paediatric Ophthalmology Society, Chairman of the Paediatric Sub-Committee of the Royal College of Ophthalmologists and the author of more than 70 peer-reviewed publications and 8 book chapters, mostly relating to paediatric ophthalmology.