There are various common reasons for children with severe amblyopia after congenital cataract surgery, and the most common reason is neglecting amblyopia treatment after surgery. Some parents have the misconception that childhood cataracts are the same as senile cataracts and that after cataract removal, the child’s vision will naturally return to normal levels.
They brought their children to the hospital in a very timely manner and had cataract surgery within a few months after birth, which was very successful. After a few years of age, the child reaches the age where he or she can express vision, that is, the child can check the vision chart, and it is then that the parents discover that the child has very low vision.
It is common to see these children in clinical practice, who enter school age, only to find out that they have poor vision and, according to their medical history, have had cataract removal in their early childhood. After the surgery, neither the farsightedness was corrected nor the amblyopia was treated, and the visual acuity was still less than 0.1, at which time the treatment of amblyopia was started. It is too late.
Correction of refractive error is the key to treating amblyopia. One week after congenital cataract surgery, you can be fitted with glasses. If there is no lens after cataract surgery in one eye, you should be fitted with contact lenses, and American ultra-thin highly hyperopic pressure-pasted distance vision lenses; if both eyes are cataract surgery without lens, you can be fitted with frame glasses, and also with corneal contact lenses and American ultra-thin highly hyperopic pressure-pasted distance vision lenses if after cataract removal.
The surgery was done at the time of the IOL value into, and after the surgery there is still a certain degree of residual refractive error, or you should give the child an optometry, and then you can fit the appropriate glasses according to the degree of residual refractive error. After cataract removal, amblyopia treatment principles and specific treatment methods are the same as ordinary amblyopia, the only difference is that the treatment is much more difficult than ordinary amblyopia.
Post-cataract vision rehabilitation for children is a comprehensive treatment that requires the cooperation of doctors and parents.