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...
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doaj-baeebc314e3046af828734beafa7145d2020-11-24T22:09:53ZengWhite Rose University PressBritish and Irish Orthoptic Journal2516-35902012-08-0110646510.22599/bioj.7675Congenital cataracts presenting as a childhood squintShanel Sharma0Chloe Lafferty1G. G. W. Adams2Paediatrics and Strabismus Service, Moorfields Eye Hospital, London; Eye and Laser Surgeons, Bondi Junction, Sydney, Australia; University of New South Wales, Sydney, Australia; University of Sydney, Sydney, Australia; University of Wollongong, Wollongong, AustraliaPaediatrics and Strabismus Service, Moorfields Eye Hospital, LondonPaediatrics and Strabismus Service, Moorfields Eye Hospital, LondonAim: 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.https://www.bioj-online.com/articles/76CataractRetinoscopySquint |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Shanel Sharma Chloe Lafferty G. G. W. Adams |
spellingShingle |
Shanel Sharma Chloe Lafferty G. G. W. Adams Congenital cataracts presenting as a childhood squint British and Irish Orthoptic Journal Cataract Retinoscopy Squint |
author_facet |
Shanel Sharma Chloe Lafferty G. G. W. Adams |
author_sort |
Shanel Sharma |
title |
Congenital cataracts presenting as a childhood squint |
title_short |
Congenital cataracts presenting as a childhood squint |
title_full |
Congenital cataracts presenting as a childhood squint |
title_fullStr |
Congenital cataracts presenting as a childhood squint |
title_full_unstemmed |
Congenital cataracts presenting as a childhood squint |
title_sort |
congenital cataracts presenting as a childhood squint |
publisher |
White Rose University Press |
series |
British and Irish Orthoptic Journal |
issn |
2516-3590 |
publishDate |
2012-08-01 |
description |
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. |
topic |
Cataract Retinoscopy Squint |
url |
https://www.bioj-online.com/articles/76 |
work_keys_str_mv |
AT shanelsharma congenitalcataractspresentingasachildhoodsquint AT chloelafferty congenitalcataractspresentingasachildhoodsquint AT ggwadams congenitalcataractspresentingasachildhoodsquint |
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