16 month old with cataract in left eye

Discussion in 'Eye-Care' started by aruneben, Mar 2, 2006.

  1. aruneben

    aruneben Guest

    Hi All,

    My son was diagnosed with cataract in his left eye, a week ago by an
    eye specialist. and another pediatric opthomologist confirmed it

    i cannot see proof that he is loosing vision on one of his eye. are
    there any tests that we can perform on a 16 month old to see if he is
    loosing vision on one of his eye.

    the doctor has informed that he has to perform another test under
    anesthesia in two weeks and then perform a surgery right then if

    my son does not show any symtoms other than occasional cross eyes when
    looking at objects. he shoots the basketball extremely well from 1 to
    two feet. reads books and identifies objects in the book.

    is there any chance i can wait couple of years and monitor him
    monthly/weekly, so that we can perform surgery in couple of years when
    the kid can communicate.
    aruneben, Mar 2, 2006
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  2. aruneben

    Dan Abel Guest

    My understanding is that cataract isn't too hard to diagnose. If the
    doctor can't see into the eye due to the clouding, then the patient
    can't see out of it either.

    Communication will be better, but still not good. I would ask about

    I am not a vision professional. I have had cataract in both eyes, but
    as an adult. My wife has amblyopia and is blind in one eye.
    Dan Abel, Mar 2, 2006
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  3. aruneben

    Dom Guest

    The simplest test you can do would be for you to cover each of his eyes
    in turn and watch his reaction. If he protests to you covering his
    'good' eye that's a fair indication that the other eye is at least
    blurry... but it's not a 100% definitive method.

    If two ophthalmologists have said your son has cataract then that's
    pretty clear cut. Cataracts aren't difficult for eye doctors to
    diagnose. But there's often nothing visible to the casual observer until
    the cataract becomes quite mature and dense. The proof that he is losing
    vision in one eye is the fact that the cataract is present. The reason
    he doesn't show any symptoms is because his other eye is 'covering' for
    the cataract eye.

    If your son occasionally goes cross eyed then this could be a sign that
    his brain is already starting to ignore the eye with the cataract, and
    this is a very good reason to have the surgery done. Delaying a few
    weeks or even a couple of months mightn't be a big problem, but delaying
    a couple of years could potentially be to the detriment of his vision
    for his whole life.

    Dom, Mar 2, 2006
  4. aruneben

    LarryDoc Guest

    Regarding the information provided by Dom, below: I agree and can add
    only one thing: The doctor will be able to determine if the cataract is
    dense enough to affect your child's vision. With that information you
    will be able to choose the correct treatment.

    LB, O.D.
    ==text deleted==
    LarryDoc, Mar 2, 2006
  5. aruneben

    aruneben Guest

    thanks for your responses.

    if it is not dense, can we avoid surgery or is surgery the only answer.

    has anyone heard of the medication that this site is selling.

    aruneben, Mar 2, 2006
  6. aruneben

    aruneben Guest

    The doctor said that it is developmental cataract which he developed
    within the last 6 months. I have been looking at his new born pictures
    as early as 1 to 2 months old and zooming it. and i have seen several
    of them in which his left eye has a white cloud. the other eye seem to
    be completely black, this leads me to believe that it may be congenital

    i remember reading some posts here where a user has said that his
    parent/himself and his son have congenital cataract and they left it
    alone till they were adults before performing surgery. is that true for
    congenital cataract, can those with congenital cataract wait till
    adulthood to perform surgery

    aruneben, Mar 3, 2006
  7. aruneben

    Dom Guest

    There's no technical/surgical reason that you couldn't wait until
    adulthood for surgery, in fact it would be easier for the surgeon in
    many ways... HOWEVER your son would always have a lazy eye with quite
    blurred vision, even after successful cataract surgery as an adult. This
    is because the brain has not learnt to process vision from that eye and
    so it has learned to partly ignore that eye (in laymans terms). (More
    correctly: amblyopia). Cataract surgery needs to be done as a young
    child to give the brain a chance to learn to process vision from the
    (ex-)cataract eye.

    This is all assuming the cataract is bad enough to affect vision, which
    most are, and which the doctor will know by just looking at the
    cataract. If the cataract was very mild then there could be an argument
    for leaving it there.

    Dom, Mar 3, 2006
  8. aruneben

    Dom Guest

    yes even a 16 month old can wear a contact lens.

    what are the problems
    even if your son did get glaucoma it's treatable, unlike amblyopia.

    without knowing the details of how bad the cataract is, amblyopia is
    probably guaranteed with no surgery, while glaucoma is only a risk with
    surgery, and then a treatable risk at that.

    Dom, Mar 4, 2006
  9. Actually, for a true congenital cataract (at birth, fairly opaque), even 3
    months is usually too later and leads to nystagmus and intractable
    amblyopia. These are removed as urgent surgery at 1-3 weeks of age. Silicone
    contacts are then usually placed immediately.

    Juvenile cataracts, acquired later on, are removed when vision reaches the
    point that the surgical risk is worth it. Generally around 20/60 - 20/70 or
    so. The age is not usually an issue. The above ages mentioned are regarding
    treatment of amblyopia, which depends also on how much the cataract-caused
    vision had declined.
    David Robins, MD, Mar 5, 2006
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