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Review

Pediatric cataract: challenges and future directions

&
Pages 77-90 | Published online: 07 Jan 2015

Figures & data

Figure 1 Ultrasound biomicroscopy images.

Notes: (A) Ultrasound biomicroscopy image depicting anterior segment structures in a normal eye. (B) Ultrasound biomicroscopy showing keratolenticular adhesion (arrow) with cataract in a case of Peter’s anomaly. The image demonstrates the utility of anterior segment imaging for pediatric cataract evaluation.
Abbreviations: C, cornea; I, Iris; ACa, anterior capsule; L, lens.
Figure 1 Ultrasound biomicroscopy images.

Figure 2 Examination of family members.

Notes: (A) Undilated exam that is apparently normal; (B) dilated exam of the same patient revealed punctate cortical opacities.
Figure 2 Examination of family members.

Figure 3 Total cataract with central anterior capsular plaque.

Figure 3 Total cataract with central anterior capsular plaque.

Figure 4 Anterior polar cataract.

Notes: (A) Aniridia with dot-like anterior polar cataract (arrow); (B) pyramidal cataract.
Figure 4 Anterior polar cataract.

Figure 5 Oil-droplet cataract in galactosemia.

Figure 5 Oil-droplet cataract in galactosemia.

Figure 6 Subluxated lens in a child with Marfan’s syndrome.

Figure 6 Subluxated lens in a child with Marfan’s syndrome.

Figure 7 The technique of two-incision push–pull anterior capsulorhexis.

Notes: (A) Two stab incisions are made approximately 4.5–5.0 mm apart in the anterior capsule with a microvitreoretinal blade (arrowheads). (B) Grasping the distal flap of the proximal anterior capsule with capsulorhexis forceps and pushing toward the distal stab incision, making a semicircular rhexis; (C) similarly, the proximal flap of the distal stab incision is then grasped and pulled toward the proximal stab incision. (D) Complete continuous curvilinear capsulorhexis. (E) Anterior (arrow) and posterior two-incision push–pull rhexis (arrowheads) under retroillumination.
Figure 7 The technique of two-incision push–pull anterior capsulorhexis.