The management of posterior polar cataract: the role of patching and grading.
BACKGROUND
The milder form of posterior polar cataract is often discovered late in preschool children if secondary symptoms like strabismus are not present. The question addressed in this paper is: do such children still profit from orthoptic and surgical treatment?


METHODS
This was a retrospective study of the data from 13 patients, median age 4 years (range: 1 month to 12 years), with a mean follow-up of 4 years. Four changes to the red reflex were introduced.


RESULTS
Surgery followed from two weeks to three years after starting occlusion therapy. Before therapy, the best visual acuity was 0.3 and the worst 0.06 (median 0.16). A median of four years after starting therapy, the visual acuity ranged from 0.9 to 0.4 (median 0.6).


CONCLUSIONS
All milder cases profited from the treatment despite its late start. An earlier discovery would improve the prognosis. In any case, however, ophthalmologists should be encouraged to try patching before resorting to surgery.
Schroeder
H W
HW
Ohkamp 28, Hamburg, Germany.
D002386:Cataract / Q000145:classification* / Q000628:therapy*; D002387:Cataract Extraction; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D019654:Lens Implantation, Intraocular; D008297:Male; D012189:Retrospective Studies; D012683:Sensory Deprivation; D014786:Vision Disorders / Q000517:prevention & control*; D014792:Visual Acuity / Q000502:physiology