Understanding Childhood Cataracts

A Comprehensive Guide for Parents and Caregivers

Pediatrics

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Last updated: Mar 24, 2025

What Are Childhood Cataracts?

Childhood cataracts are cloudy areas in the lens of a child's eye that can affect vision development. Unlike adult cataracts, which typically develop slowly with age, childhood cataracts can be present at birth (congenital) or develop during childhood (developmental).

Types of Childhood Cataracts

  • Congenital cataracts: Present at birth
  • Developmental cataracts: Develop after birth
  • Unilateral cataracts: Affecting one eye
  • Bilateral cataracts: Affecting both eyes

Causes

Common causes include:

  • Genetic factors
  • Infections during pregnancy (rubella, toxoplasmosis)
  • Metabolic disorders
  • Trauma to the eye
  • Certain medications
  • Associated medical conditions

Signs and Symptoms

  • White or cloudy appearance in the pupil
  • Poor visual tracking in infants
  • Misaligned eyes (strabismus)
  • Nystagmus (involuntary eye movements)
  • Difficulty seeing objects clearly

Diagnosis

  1. Regular pediatric eye screenings
  2. Comprehensive eye examination
  3. Specialized imaging tests
  4. Family history assessment

Treatment Options

Surgical Treatment

  • Removal of the cloudy lens
  • Intraocular lens implantation (when appropriate)
  • Post-surgical care

Non-surgical Management

  • Vision therapy
  • Corrective eyewear
  • Regular monitoring

Long-term Care

  • Regular follow-up appointments
  • Vision rehabilitation
  • Monitoring for complications
  • Educational support when needed

Prevention

  • Regular prenatal care
  • Maternal vaccination
  • Early eye screenings
  • Protective eyewear for older children

When to Seek Medical Attention

  • Unusual eye appearance
  • Changes in visual behavior
  • Eye misalignment
  • Concerns about vision development

Support Resources

  • Pediatric ophthalmologists
  • Vision therapy specialists
  • Support groups
  • Educational resources

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