Paediatric cataract blindness in the developing world: surgical techniques and intraocular lenses in the new millennium.
Paediatric cataract blindness presents an enormous problem to developing countries in terms of human morbidity, economic loss, and social burden. Managing cataracts in children remains a challenge: treatment is often difficult, tedious, and requires a dedicated team effort. To assure the best long term outcome for cataract blind children, appropriate paediatric surgical techniques need to be defined and adopted by ophthalmic surgeons of developing countries. The high cost of operative equipment and the uneven world distribution of ophthalmologists, paediatricians, and anaesthetists create unique challenges. This review focuses on issues related to paediatric cataract management that are appropriate and suitable for ophthalmic surgeons in the developing world. Practical guidelines and recommendations have also been provided for ophthalmic surgeons and health planners dealing with childhood cataract management in the developing world.
Wilson
M E
ME
Miles Center for Pediatric Ophthalmology, Storm Eye Institute, Medical University of South Carolina, Charleston, South Carolina 29425-5536, USA. wilsonme@musc.edu
Pandey
S K
SK
Thakur
J
J
D000065:Accommodation, Ocular / Q000502:physiology; D000758:Anesthesia / Q000379:methods; D000778:Anesthetics, Dissociative; D001766:Blindness / Q000453:epidemiology / Q000209:etiology / Q000534:rehabilitation*; D002386:Cataract / Q000150:complications / Q000453:epidemiology / Q000628:therapy*; D002387:Cataract Extraction / Q000193:education / Q000379:methods*; D002648:Child; D003695:Delivery of Health Care / Q000379:methods; D003906:Developing Countries; D005139:Eyeglasses / Q000706:statistics & numerical data; D017408:Guidelines as Topic; D006801:Humans; D007391:International Cooperation; D007649:Ketamine; D007910:Lenses, Intraocular
D000778:Anesthetics, Dissociative; D007649:Ketamine