Patient: Hello, Professor Pang. He was diagnosed with cataract last year. On February 9, 2009, he went to Peking University to see you for treatment. I have been giving my child pupil masking and amblyopia training (fine and visual stimulation) with the Vision Qi training software, as well as bead threading, and I want to keep it up until summer vacation to see the results. The doctor here said that IOL surgery may not necessarily help improve vision, so I would like to hear your advice. Pang Lin, Strabismus and Pediatric Ophthalmology, Peking University First Hospital: It depends on the specific situation. If conservative treatment does not work, surgery can give the child one more possible chance to improve his vision. Patient: Hello, Professor Pang. Does this long-term pupil release treatment have any effect on the child’s health? How long do I need to insist on what level can be considered as having or not having effect. After changing the lens, should I continue to use the same training method as before? Is it okay for me to use the method of covering 6 days and releasing 1 day? My child has 150 degrees of hyperopia in the affected eye. Thank you! Pang Lin, Strabismus and Pediatric Ophthalmology Department, Peking University First Hospital: When ordering pupil-dilating medication, pay attention to compressing the tear sac for 1 to 2 minutes to reduce the absorption of the medication throughout the body. If there is no improvement in vision after several months of treatment, it should be considered ineffective. After changing the crystal, you should continue to use the same training method as before. It is possible to use the method of covering 6 days and releasing 1 day. The child has 150 degrees of hyperopia in the affected eye and needs to wear glasses on the day of release. Patient: Hello, Professor Pang. My child’s vision seems to have improved a bit, he can see 0.8 with glasses and 0.5 with naked vision, so I would like to ask you, is there any hope for my child to persist with this method, and is it better to change the crystal than this. Will this cataract continue to develop and will the healthy eye be affected by the affected eye? I am very confused and I don’t know what to ask. Thank you! Pang Lin, Strabismus and Pediatric Ophthalmology, Peking University First Hospital: Surgery is not recommended if the visual acuity is 0.8. The training can be gradually reduced after the current treatment effect is stabilized or improved again. When the time comes, it is better to see the doctor and then adjust the treatment, so that communication is not a substitute for seeing a doctor. Patient: Hello, Professor Pang. I’m very encouraged by your reply, but it’s too difficult to go to your place on vacation. Thank you! Pang Lin, Strabismus and Pediatric Ophthalmology, Peking University First Hospital: It is best to change the masking method for the current visual condition. The patient: Hello, Professor Pang. I went back to the hospital today for a review of my vision, and my right eye is barely 0.8 with a lens, and the doctor said I can continue with your method. I want to try your new method.