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Congenital cataracts are diagnosed based on the form and location of the opacity of the lens. To confirm the diagnosis, laboratory tests should be selected for different conditions, such as karyotyping and banding in the case of congenital cataract and other systemic malformations.
Patients with diabetes mellitus and neonatal hypoglycemia should have blood glucose, urine glucose, and ketone tests. Patients with renal disease should have urinalysis and urine amino acids checked. Patients with suspected metabolic disease should have their amino acid levels measured.
In addition, urine phenylpyruvate measurement, qualitative testing for homocystinuria, and screening for galactosuria can also be done.
Congenital cataract has a white reflex in the pupillary area, which is the most common type of white pupil disease, and other eye diseases can also cause this condition, but the clinical manifestations, ** and prognosis are different, and attention should be paid to differentiation.
**The goal of congenital cataract is to restore vision and reduce the occurrence of blindness.
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You need to go to a professional eye hospital for an examination, generally through surgery, and the specific plan can only be determined after examination.
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Congenital cataract adopts different methods according to the age of the child and the location and degree of lens opacity, and it is suitable for cataract that obviously affects the development of vision.
Cataract extraction, stage I or II intraocular lens implantation, refractive correction, and amblyopia are required.
Train this systematic**.
The goal is to restore vision and reduce the occurrence of amblyopia and blindness. For those with little impact on vision, such as anterior pole cataract, coronal cataract and punctate cataract, it is generally possible to temporarily observe the change of vision and lens opacity without rushing to surgery, and regularly follow up the vision condition and the degree of lens opacity.
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Cataract is obtained by the elderly, but some people have congenital cataracts, so can congenital cataracts be cured?
Congenital cataracts can be cured, but not all cataracts can be cured. Congenital cataracts have different clinical manifestations, different**, can be monocular or binocular disease, complete or incomplete lens opacity, and may have amblyopia. It is suggested that the most widely used at present is phacoemulsification aspiration + intraocular lens implantation, and most cataracts can be used in this type of surgery, which has the advantages of small surgical incision, fast hand modification and low cost.
For children, after doing cataract surgery, the recovery time may be within half a year, this should still depend on the effect of the operation, if the operation is not successful when the operation is not done, then the child's congenital cataract will have the possibility of **, so you must pay attention when doing cataract surgery, go to a regular hospital to accept**. The purpose of the first is to restore vision, if it has little impact on vision, it generally does not require surgery.
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Congenital cataracts are easy to treat. If it does not affect vision, it is not required**. Clinical observation can be performed, and if severe vision loss occurs, prompt surgery is required**.
Suggestions: Pay attention to eye protection, wear an eye mask when sleeping, and wear sunglasses when you go out. Avoid rubbing your eyes with your hands, and wash your hands with water before touching them.
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This condition should not be curable, many congenital diseases are medical problems, which is also a relatively rare situation, so it may not be curable.
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Now cataract technology is very mature, even congenital cataract can be used, especially in the early stage, the rate is higher.
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Kunming Aiweihua Mountain can be a, which is better in the local area, far from being able to reach other hospitals.
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You can first go to Kunming Aiwei Huashan Hospital to ask to see what the situation is, and the specific ** is determined according to the actual situation.
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Kunming Aiwei Huashan Hospital is good, and it is a household name in the local area.
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It must be the best in Kunming Aiweihua Mountain, one of the best in China.
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Congenital cataract is also a kind of cataract, the only effective method is surgery, then the parents of the child must be very anxious, after the operation, whether the child can have normal vision or vision can be restored, this is what is the concept of the patient's parents to cure and restore it.
We say that congenital cataract is different from senile cataract, a child with congenital cataract will get cataract in the process of his vision development, so this cataract has a great impact on the child's visual development, so after the congenital cataract is operated on, it is likely to be a patient with amblyopia.
Therefore, it is necessary to go to the doctor for amblyopia for a long time after surgery, so that it is possible to gradually improve the child's vision, so whether it can achieve a normal vision depends on the degree of amblyopia and the cause of amblyopia, and whether there are other reasons to decide, as well as the degree of enthusiasm and management of the child's parents for the child's amblyopia, these are different factors that affect the child, and finally after adulthood, what level of vision can be reached.
In addition, children with congenital cataract are often accompanied by other congenital eye diseases, such as congenital glaucoma, so after congenital cataract surgery, children should constantly monitor intraocular pressure to observe whether the child has developed glaucoma, and if there is, it is necessary to carry out a very positive **, because glaucoma also causes blindness, a disease, and once blindness occurs because of glaucoma, it is also irreversible.
For patients with congenital cataracts, when we are doing surgery, there is a very big problem, and our experts have been arguing about whether to put an intraocular lens in the child, and how much intraocular lens to put in. Because the child was still very small at the time of surgery, the whole eyeball was also very small, but as he grows and develops, his eyeball will become larger when he reaches adulthood, and he will put it in at this time.
The power of the intraocular lens is different, but the intraocular lens we put in will not continue to grow with the growth and development of the child, it is a fixed power, a fixed form, so we are not accurate for the child in the next ten years. Therefore, even if a child has undergone congenital cataract surgery, his vision is better when he is young, and he may develop high myopia or astigmatism when he becomes an adult. Therefore, at that time, it may be necessary to have another intraocular lens replacement surgery.
In short, the surgery for children with congenital cataract is different from that of the elderly and adults, and there will be more and more complex factors that affect vision, and it is not after the operation is over, it can be completed, and there is a long process that makes the patient's and children's visual function gradually develop and gradually improve their vision.
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Congenital cataract refers to the opacity of the lens that exists before and after birth and develops gradually after birth, due to congenital inheritance or development. For congenital cataracts, they can be observed in the early stages if they do not affect vision**. For congenital cataract that seriously affects vision, in order to prevent the occurrence of amblyopia, it is recommended to undergo surgery as soon as possible**, but after congenital cataract surgery, because most of the patients are children and adolescents, it is easy to cause posterior cataract after surgery, and due to the proliferation of the posterior capsule of the lens, which causes posterior cataract, it is generally recommended to undergo laser surgery**.
Congenital cataract is also a kind of cataract, so the only effective method is surgery, then the parents of the child must be very anxious, after the operation, whether the child can have a normal vision or vision can be restored, this is what is the concept of the patient's parents to cure and restore it, we say congenital cataract, and senile cataract is different, the child with congenital cataract has cataract in the process of his vision development, Therefore, this cataract has a very great impact on the development of the child's vision, so after the congenital cataract child has surgery, it is likely to be a patient with amblyopia, so it is necessary to go to the doctor for a long time after the operation of amblyopia, so it is possible to gradually improve the child's vision, so whether it can achieve a normal vision depends on the degree of amblyopia and the cause of amblyopia, and whether there are other reasons to decide, as well as the degree of enthusiasm and management of the child's parents for the child's amblyopia. These are all different factors that affect the level of vision that children can achieve in adulthood.
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