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Updated: Oct 29, 2025

Author Spotlight: Unraveling the Molecular Mechanisms in PCO and Fibrosis Following Cataract Surgery
Published on: December 1, 2023
[Emphasizing the critical issues in perioperative management of children with congenital cataract]
1Eye Center, Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310009, China.
Insights
Pediatric cataract surgery requires special perioperative care due to unique risks in children. This review details optimal management strategies for successful surgical outcomes and visual rehabilitation in pediatric patients.
Area of Science:
- Ophthalmology
- Pediatric Surgery
Background:
- Cataract is a leading cause of reversible childhood blindness.
- Children present unique anatomical, physiological, and developmental factors increasing perioperative risks during cataract surgery compared to adults.
Purpose of the Study:
- To provide a comprehensive overview of the perioperative management for pediatric cataract surgery.
- To guide clinicians on optimizing surgical outcomes and visual recovery in children.
Main Methods:
- Literature review of relevant studies on pediatric cataract surgery.
- Synthesis of authors' clinical experience in managing pediatric cataract cases.
Main Results:
- Discussion covers indications, optimal surgical timing, and preoperative assessments.
- Addresses prevention and management of surgical complications.
- Outlines strategies for postoperative visual function rehabilitation.
Conclusions:
- Meticulous perioperative management is crucial for mitigating risks in pediatric cataract surgery.
- Specialized attention to the unique needs of children ensures better surgical outcomes and visual restoration.
Abstract:
Cataract is the main cause of treatable visual impairment in children. Children face more risks during the perioperative period of cataract surgery than adults because of their anatomical, physiological, behavioral, and developmental characteristics; therefore, special attention and management are required. This article comprehensively discusses the perioperative management of children's cataract surgery on the base of relevant literatures and the authors' clinical experience, including the indications and timing of surgery, preoperative examination, prevention and treatment of surgical complications, and postoperative visual function reconstruction. (Chin J Ophthalmol, 2021, 57: 481-486).
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