[Rehabilitation methods for children with complicated cataract]

Area of Science:

• Ophthalmology
• Pediatric Surgery
• Vision Science

Context:

• Cataracts in children, including congenital, post-traumatic, and complicated forms, pose significant challenges to visual development.
• Effective management requires a multidisciplinary approach encompassing diagnosis, surgical intervention, and post-operative care.
• Traditional treatments often have limitations, necessitating advanced surgical methods and rehabilitation strategies.

Purpose:

• To evaluate the efficacy of surgical interventions, including phacoemulsification and phacoaspiration with intraocular lens implantation, for pediatric cataracts.
• To assess the impact of a comprehensive rehabilitation program, including pre- and post-operative medical treatment and visual training, on visual outcomes.
• To analyze surgical outcomes in terms of visual acuity restoration and the achievement of binocular vision across different types of pediatric cataracts.

Summary:

• The study reviewed surgical treatment results for 213 children with post-traumatic, congenital, and complicated cataracts.
• Surgical methods included phacoemulsification and phacoaspiration with intraocular lens transplantation.
• A comprehensive rehabilitation protocol involving early diagnosis, surgery, optimal correction, medical management, and complication prophylaxis was implemented.

Impact:

• Surgical treatment and rehabilitation significantly increased visual acuity in 83.8% of patients.
• Binocular vision was restored in 71.4% of the pediatric patients.
• The findings underscore the importance of a holistic approach for optimizing vision restoration in children with cataracts.