PGCFA Knowledgebase

Anterior Polar Cataracts

Article ID: 53
Last updated: 10 Mar, 2018
Revision: 1
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Question

 

My 15 month child was born with tiny dots in her eye, diagnosed at 4month with anterior polar cataracts. One is insignificant in size, the other has gotten larger. She can function with 4h a day patch on the good eye just fine. We're faced with the decision for surgery, not sure how to go about making the decision. Any recommendations would be greatly appreciated.

Answer

The decision for surgery is based on size of the cataract and other findings on eye examination. Vision with patch on is not necessarily a good sign to use as because at young age not much vision is needed for normal function.  The key here is to be sure your doctor is a pediatric ophthalmologist who is well experienced with pediatric cataract surgery and has seen lots of this before.

Alex V. Levin, MD, MHSc, FRCSC
Chief, Pediatric Ophthalmology and Ocular Genetics
Robison D. Harley, MD Endowed Chair in Pediatric Ophthalmology and Ocular Genetics
Wills Eye Hospital, Ste. 1210
840 Walnut Street                    
Philadelphia, PA 19107-5109

Chair, Scientific Advisory Board
Pediatric Glaucoma and Cataract Family Association
 

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item White Dot

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