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March 1958

Surgery of Developmental Cataract

Author Affiliations

Miami, Fla.

AMA Arch Ophthalmol. 1958;59(3):407-416. doi:10.1001/archopht.1958.00940040113013

The purpose of this paper is to present a technique for the surgery of developmental cataract which is simple, safe, and surgically sound. The paucity of articles on this subject in the medical literature is surprising.

Since the term congenital merely implies a point in time, it is best to term these cataracts developmental. As Regnier1 points out, cataracts in babies, whether present at birth or formed during infancy, should be called developmental rather than congenital, because the development of the lens in the human eye proceeds steadily, without any particular change in progress at the time of birth.

The wide variety of lenticular involvement, from tiny spots to complete opacification, is well known. Of primary importance in the visual prognosis, whether surgery is performed or not, is the frequent presence of associated ocular defects. Among these are amblyopia, nystagmus, strabismus, microphalmos, atrophy of the iris, intolerance to atropine,

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