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Pediatric Cataract Surgery in Microphthalmic Eyes

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Pediatric Lens Diseases

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Abstract

Congenital microphthalmos (CM) is caused by disrupted eye growth during embryonic development, which is characterized by shorter-than-normal axial length of the globe. There is a lack of consensus on the classification of microphthalmos. An anatomical classification consisting of three categories may be useful. Manifestations of CM in children differ from those in adults and they require unique management strategies. More specifically, delayed timing of IOL implantation and the avoidance of piggyback IOL implantation are recommended in these cases. Cataract extraction in children with CM requires specific techniques and is associated with an increased risk of posterior synechiae and glaucoma. This chapter elaborates on the classification and manifestations, surgical indications, preoperative evaluation, calculation of intraocular lens power, surgical techniques, and prevention and management of surgical complications.

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Authors and Affiliations

  1. State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, 54S Xianlie Road, Guangzhou, 510060, People’s Republic of China

    Xinyu Zhang MD, PhD, Xiaojian Zhong & Xiaoyun Chen

Authors
  1. Xinyu Zhang MD, PhD
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  2. Xiaojian Zhong
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  3. Xiaoyun Chen
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Corresponding author

Correspondence to Xinyu Zhang MD, PhD .

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Editors and Affiliations

  1. State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Guangzhou, Guangdong, China

    Yizhi Liu

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© 2017 Springer Science+Business Media Singapore

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Zhang, X., Zhong, X., Chen, X. (2017). Pediatric Cataract Surgery in Microphthalmic Eyes. In: Liu, Y. (eds) Pediatric Lens Diseases. Springer, Singapore. https://doi.org/10.1007/978-981-10-2627-0_20

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  • DOI: https://doi.org/10.1007/978-981-10-2627-0_20

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-10-2626-3

  • Online ISBN: 978-981-10-2627-0

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