Can I still treat congenital cataracts when I m 17 years old? What is the harm of incurable

Congenital cataracts usually require surgery**.

However, it is necessary to pay attention to the choice of removal method and timing of removal. For patients who do not progress and still have good vision, surgery is not required;

For those who have affected their vision and hindered the development of visual function, surgery should be performed as soon as possible. Over time, it will cause discarded amblyopia that is difficult to salvage, and you will not be able to achieve good vision for life.

Because we don't know your detailed cataract vision or other conditions right now, it's impossible to tell if you need it now**. Generally, surgery can still be done**, so it is best to go to your local ophthalmologist for a detailed examination before deciding** the plan.

Cataract is caused by oxidative damage to the lens due to aging, metabolic abnormalities, light radiation, nutritional disorders and other factors, resulting in crystal fibrin degeneration, hydrolysis, and turbidity of the lens, resulting in visual impairment, just like the lens is damaged and the image is not clear. The best way to cataract is surgery, and a good intraocular lens can be used to image and see clearly.

The lens is easy to be oxidized and damaged because of the lack of protective substance - lutein, when the cataract is not very serious (vision does not seriously affect daily life), it is recommended to take lutein to protect the lens to prevent the deterioration of the condition and prevent other eye diseases, such a conservative ** is better, because there are more complications after cataract surgery, and it is easy to ** after surgery, and the quality of the intraocular lens is also uneven. When severe vision loss has affected daily work and life, surgery should be considered. If left untreated, it is likely to lead to more serious consequences of other fundus diseases.

Congenital cataracts can be cured. Congenital cataract should be operated on as soon as possible**, and amblyopia should be corrected after surgery**. If the child is diagnosed with congenital cataract at birth, and it has a large impact on vision, or if the congenital cataract is severe, it is recommended to have surgery as soon as possible, usually if the child can tolerate general anesthesia.

If the child's eyeball is small, the intraocular lens cannot be implanted, and the intraocular lens is usually placed until the child is about two years old. After surgery, light is only allowed to reach the retina, which promotes the development of eye vision. If it drags on for a long time, the light cannot penetrate and has an impact on the child's retinal development.

Congenital cataract requires amblyopia in addition to surgery**. Patients need to have intraocular lenses placed after surgery and need to wear glasses to correct amblyopia. Congenital cataracts are usually accompanied by amblyopia, which can be cured by surgical amblyopia correction**.

Congenital cataract is mainly based on surgery, lead-induced refractive correction and vision training, with the goal of restoring vision and reducing the occurrence of amblyopia and blindness.

1. General**.

1. Those who have little impact on vision, such as anterior pole cataract, coronal cataract and punctate cataract, generally do not need **, and regular follow-up observation is appropriate.

2. Aphakic eyes need refractive correction and vision training to prevent and treat amblyopia and promote the development of fusion function. The commonly used correction methods are: (1) Spectacle correction:

Simple and easy to adjust; (2) Corneal contact lenses: suitable for most children with aphakic in one eye, but it is more troublesome to wear often, and corneal epithelial damage and infection are prone to occur; (3) Intraocular lens implantation: Due to the development of microsurgical technology and the improvement of intraocular lens quality, there are few serious complications after intraocular lens implantation.

Considering the development of the eye from the socks to infants, it is generally believed that intraocular lens implantation surgery is performed around the age of 2 years.

3. For small **sexual opacity, pupil dilation can be carried out**.

4. For children with less turbidity or no obvious impact on vision as evidenced by red light reflex, masking should be considered**.

2. Drugs**.

Congenital cataracts are generally not treated with medications**.

3. Surgery**.

For those who obviously affect vision, such as total cataract and circumnuclear cataract, surgery should be chosen**, and membranous cataract can be selected for membranous cataract, etc., the earlier the surgery, the greater the chance of the child getting good vision. For total cataracts in both eyes, cataracts located in the center of the visual axis, with a significant degree of opacity, and cataracts that affect vision in one eye, surgery should be performed at 2 to 6 months according to the development of the eye under general anesthesia after birth. Patients with cataracts in both eyes should have surgery on the other eye within 2 weeks to 1 month after surgery on one eye.

For congenital internal ulnar arousal disorder, in recent years, there have been studies on the use of ultra-minimally invasive cataract surgery to preserve endogenous lens epithelial stem cells and their regeneration microenvironment, and regenerate functional lenses after surgery, but their refraction and long-term effects still need to be observed. Other surgical modalities include lens aspiration, lenktomy, optical iridectomy, YAG laser membrane incision, phacoemulsification, etc.

This question needs to be considered according to the patient's comprehensive situation, such as the degree of lens opacity, visual acuity, the patient's general condition, and the vision requirements of the patient's work. In the past, senile cataracts were operated on until they were fully mature and they could not see anything, especially in the past, cryocystectomy (intracapsular extraction) was performed only after the lens was completely clouded. However, with the continuous progress of science and technology, cataract surgery methods have made a qualitative leap.

With the advancement of ophthalmic surgery, the advent of intraocular lenses, and the continuous improvement of surgical techniques, Mei Li Jingqian has adopted modern microcapsule cataract removal and intraocular lens implantation. This surgery is safe and prudent, and the success rate is high. Therefore, it is not necessary to wait until the lens is completely clouded before surgery.

Generally speaking, surgery can be considered when the patient feels that he or she has difficulty in work and life, has difficulty reading, has vision below the limit, and cannot be corrected with lenses. For those whose work requires high vision or who have difficulty taking care of themselves (such as computer operators, instrument repairers, drivers, etc.), surgery can be performed in advance even if the cataract is not mature and the vision is left and right.