Congenital and childhood cataracts are uncommon but regularly seen in the clinics of most paediatric ophthalmology teams in the UK. They are often associated with profound visual loss and a large proportion have a genetic aetiology, some with significant extra-ocular comorbidities. Optimal diagnosis and treatment typically require close collaboration within multidisciplinary teams. Surgery remains the mainstay of treatment. A variety of surgical techniques, timings of intervention and options for optical correction have been advocated making management seem complex for those seeing affected children infrequently. This paper summarises the proceedings of two recent RCOphth paediatric cataract study days, provides a literature review and describes the current UK 'state of play' in the management of paediatric cataracts.
儿童白内障的管理: 文献综述以及横跨英国五大临床中心当前的临床实践: 先天性白内障和儿童白内障并不常见, 但在英国大多数儿科眼科团队的诊所里经常见到。它们通常与严重的视力丧失有关, 而且大部分与遗传因素有关, 有些还伴有明显的眼外合并症。最优化的诊断与治疗通常需要多学科团队的密切合作。手术仍是当前治疗的主要手段。对于不常见到患病儿童的医生, 目前一直提倡的各种手术技术、干预时机及光学矫正的选择, 管理似乎有些复杂。本文总结了英国皇家眼科医师协会年会最近的两个儿童白内障研究的进展, 完成了一篇文献综述, 并描述了目前英国在儿童白内障管理方面的“工作状态”。.