Visual rehabilitation of infants and young children with cataracts remains a challenging clinical problem. The surgical treatment of pediatric cataracts has evolved considerably since Scheie1 popularized the aspiration procedure. At present, many authorities prefer to perform a lensectomy-vitrectomy utilizing one of the many closed-eye vitrectomy
See also pp 662 and 668.
systems currently available.2-4 This technique has provided a method of surgical removal of infantile cataracts that appears to be safe and has greatly reduced the need for secondary surgical procedures in these patients.2 Nevertheless, the major obstacles confronting the ophthalmologist and the family of an infant with cataracts are not surgical; rather, they are related to the long-term problems involving the aphakic correction and occlusion therapy. When evaluating the various methods of aphakic correction available, it is important to recall the dynamic growth of the eye and the resulting changes in refractive power that occur in
Hoyt CS. The Optical Correction of Pediatric Aphakia. Arch Ophthalmol. 1986;104(5):651-652. doi:10.1001/archopht.1986.01050170041017