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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Main Authors: Shanel Sharma, Chloe Lafferty, G. G. W. Adams
Format: Article
Language:English
Published: White Rose University Press 2012-08-01
Series:British and Irish Orthoptic Journal
Subjects:
Online Access:https://www.bioj-online.com/articles/76
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spelling 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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