Essentials of Pediatric Cataract Surgery by Unknown

Author:Unknown
Language: eng
Format: epub
ISBN: 9789811602122
Publisher: Springer Singapore

10.3 Clinical Presentation

The presentation in pediatric cataract associated with PCD is similar to any other congenital cataract. It is easy to miss by the caregivers at an early stage due to its posterior location. A history of rapid progression of whitish opacity by the mother or caregiver may provide a hint toward the diagnosis.

It may be difficult to diagnose PCD in undilated pupil with a torch examination in a small child. A dilated slit lamp examination may help in picking subtle but key signs for diagnosis. A similar examination can be performed using direct ophthalmoscope for a small baby and further details may be elicited during examination under anesthesia using microscope. The step wise examination in a fully dilated pupil should include the following:Anterior chamber depth (ACD): Unusually deep anterior chamber should raise a suspicion of posterior capsular opening or partially absorbed cataract.

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