EPOS

European Paediatric Ophthalmological Society

Abstract Preview

24 Management of posterior pole cataract

Schroeder, W.
Hamburg, Germany

While in children with acquired unilateral visual damage thin must have been repaired within a certain Interval to prevent horror fusionis and deep amblyopia, the (congenital although mostly unilateral) posterior polar cataract leaves us more time to decide on surgery dependend on the grade of pupillary occlusion.

Grade 1: Small dense spot, probably exentric, without effect on the optical quality of the clear parts of the lens.

Therapy: Pleoptic only.

Grade 2: The density covers up to 2/3 of the pupil's diameter without further optical effect.

Therapy: Pleoptic, bifocals, mydriasis.

Grade 3. The density covers 2/3 and more of the pupil's diameter surrounded of a zone of optical disturbance. Only in mydriasis there is a sufficiently clear red reflex.

Therapy: Surgery, especially if pleoptic is rejected.

Grade 4-5 The density is totaly occlusive; although in mydriasis there is no zone of red reflex.

Therapy: surgery as soon as possible.

Pleoptic is to be continued after surgery over years. Cases are demonstrated.