Update of pediatric cataract surgery complications

The procedures of pediatric cataract surgery are much complicated than those in adults.The ocular anatomy of children is special and the morphology of the cataract usually require alternative surgical techniques.The complications of pediatric cataract are common and the follow-up is extensive.Vision restoration needs long process which require parental dedication.These factors make the treatments of pediatric cataract challenging.Recently, the update on pediatric cataract surgery complications includes: the use of 23-gauge and 25-gauge vitrectors in pediatric cataract surgery allow for potentially sutureless technique.Infant Aphakia Treatment Study (IATS), which is a multi-center, randomized, clinical trial comparing cataract surgery with or without intraocular lens (IOL) implantation in infants, has reported series of early stage and medium-long term outcomes; large population and long term retrospective study showed the new survey in bleeding, endophthalmitis and glaucoma-relative adverse events, visual axis opacities, and retinal detachment (RD) after pediatric cataract surgery.Complications of pediatric cataract were elucidated in this review in order to help the ophthalmologists to understand them.

Pediatric cataract; Complications; Surgery; Congenital cataract; Bleeding; Glaucoma; Posterior capsular opacity; Retinal detachment