Hi Dr Chip
I cannot tell you much about this and i will phone the parents today and get more info. From what i have been told, I do not think there is an obvious struggle with vision, other than a unilateral squint.
Thanks for your help. I still would like to discuss with an ophthalmologist.
Thanks for your reply and info.
I am a bit concerned about the pre and post op conditions , and i am not sure about the paediatric exposure of private ophthalmologists. the parents so little in choice.
I read about the complications of IOL -more frequent-in the young age and the latest IATS study results favouring secondary IOL after lensectomy. Although the age in the study was up to 6-9 months and they treated monocular cataract.
If either options is chosen, how often do you need to see the child -post op- and when the visual rehab has to start? how ofter you need to check on the corrective lenses if the aphakic eye . In Algeria they are no CL for paeds and spectacles would be the norm.
One of the ophtalmo who has better exposure to paeds cataract told the parents that he would operate on the more dense cataract(RE) and leave it in aphakia and then to treat the other. Obviously, this option prevent maybe many complications, although, I am guessing, he has to perform the the post capsulotomy and ant vitrectomy to prevent secondary cataract.
Do yo think that going for pseudoaphakia is better fot his girl , if the pre and post op conditions are optimum and in experts hands? if you are operating in a diff environment with less technical capabilities, do you think that lensectomy + PPC+AV is a safer way to start? and maybe opting for a secondary implant in 1-2 years?
"Since children go for more inflammation following surgery and glaucoma being another post op complications, weekly follow up are advised."
I guess this apply to both options. Is there any need for a general anaesthesia for these weekly follow ups? and for how long after the operation?