Congenital cataracts presenting as a childhood squint
Aim: A timely reminder that a small posterior subcapsular cataract could present with a squint. Methods: A case series is reported of 4 patients who were referred to the paediatric ophthalmology service for management of a squint. Results: In all 4 cases the strabismus was secondary to the undiag...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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White Rose University Press
2012-08-01
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| Series: | British and Irish Orthoptic Journal |
| Subjects: | |
| Online Access: | https://www.bioj-online.com/articles/76 |
| Summary: | Aim: A timely reminder that a small posterior subcapsular cataract could present with a squint. Methods: A case series is reported of 4 patients who were referred to the paediatric ophthalmology service for management of a squint. Results: In all 4 cases the strabismus was secondary to the undiagnosed posterior subcapsular cataract. Conclusion: These cases emphasise the importance of carefully examining the red reflex in any child presenting with a squint. If the squint does not fit into the typical pattern of presentation, or a smudge appears to be present when performing retinoscopy or indirect ophthalmoscopy, a further assessment of the media using a direct ophthalmoscope or a slit lamp should be undertaken to check for a congenital cataract. A portable slit lamp can be very helpful in examining small children. |
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| ISSN: | 2516-3590 |