Congenital Cataract A Concise Guide to Diagnosis and Management
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 postoperati
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Congenital Cataract
A Concise Guide to Diagnosis and Management
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Congenital Cataract
Ian Christopher Lloyd • Scott R. Lambert Editors
Congenital Cataract A Concise Guide to Diagnosis and Management
Editors Ian Christopher Lloyd Department of Clinical and Academic Ophthalmology Great Ormond Street Hospital for Children London UK
Scott R. Lambert Opthalmology Stanford University School of Medicine Stanford, CA USA
ISBN 978-3-319-27846-9 ISBN 978-3-319-27848-3 DOI 10.1007/978-3-319-27848-3
(eBook)
Library of Congress Control Number: 2016954327 © Springer International Publishing Switzerland 2017 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. Printed on acid-free paper This Springer imprint is published by Springer Nature The registered company is Springer International Publishing AG Switzerland
Foreword
Management of the young child with cataracts, as opposed to the adult with acquired cataracts, involves its own unique set of challenges. This often requires a team approach, with ophthalmologists working closely with pediatricians, geneticists, anesthesiologists, contact lens fitters, and, most importantly, the parents. The benefits, and risks, of early surgery for congenital cataracts are well established, but early surgery requires early identification, usually by a pediatrician. Surgical techniques for removal of a cataract in a young child address several uniquely different problems than those utilized in adult cataract surgery. Postoperative contact lens fitting may be necessary in some cases, a distinctly time-consuming and costly endeavor. Whether and how to implant an intraocular lens is a critical decision in most of these cases. The importance of appropriate amblyopia therapy that addresses the need to improve vision, with as little disruptive effect on binocular function as possible, is a keystone of successful treatment. Regrettably, the high incidence of postoperative complications, especially glaucoma, adds an additional burden to an already hi
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