Pediatric Cataract

Congenital Cataracts are responsible for 5% to 20% of blindness in children worldwide. Cataracts can be unilateral or bilateral and can vary in size from a small white dot to total opacification of the lens.

Infantile cataracts may occur due to systematic conditions diabetes, galactosemia, wilsons disease and hypocalcemia. They may occur as a part of number of syndromes like trisomy 21, intrautenhe infections like rubella, toxoplasinosis, herpes samplex, vanicella and sypentis. Unilateral cataracts are generally associated with ocular dysgenesis such as persistent fetalvascenlative (PFV), posterior lenticomus etc. Trauma is another known cause of paediatric cataracts.

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Regardless of etiology, prompt treatment of visually significant cataract is essential for proper development of vision.

Since the child is unable to articulate the symptoms, diagnosis is often delayed. Squint, lack of reaction to light, head tilt, failure to recongnize and dense cataract may lead to development of sensory mystagmus

Management of paediatric cataract is vastly different from adults as the younger anatomy of ocular tissues, continuous growth of surroundings structure pose challenges to the surgeon.

Not all paediatric cataracts require surgery. However close follow up is essential to prevent development of amblyopia and other associated complications. Pharmacological dilation, part time occlusion etc can be tried till the eye growth has stabilized and an IOL can be implanted with less refractive uncertaimity.

However if the cataract is dense and unilateral surgery is advised as early as possible, between 4-6 years of age. Bilateral dense cataracts should be operated by 6-8 weeks of age generally one week apart.

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Dr. Neeraj

Specialist: Ophthalmologist
Experience: 31+ years of experience
Hospital: Viaan eye and retina centre

More about Dr. Neeraj

Dr. Neeraj Sanduja is a reputed eye specialist with 18 years of rich experience as a Vitreoretinal Consultant. Dr. Sanduja completed his MBBS degree from PGIMs Rohtak and MS in ophthalmology from the same institute. Currently, Dr. Sanduja works as a Senior Consultant-Ophthalmology (Vitreoretinal) in Paras Hospitals, Gurgaon. His previous experience includes a stint at William Beaumont Hospital, Michigan, the USA as a Visiting Fellow in Paediatric Retina.
Dr. Sanduja has been involved in the organisation of various national and international conferences on subjects such as Diabetic Retinopathy, AMD and Retinopathy of Prematurity. Dr. Sanduja has always excelled in his profession as well as academics. He has multiple fellowships like FICO (UK), FRCS (Glasgow) & FAICO (Retina). He was awarded the Best Ophthalmologist in Delhi/NCR (2015) by the IMA. He has published numerous papers in various national and international publications. His area of expertise includes Vitreoretinal Laser Surgery, Disease of Retina and UVEA, Diabetic Retinopathy, Retinal Detachment, Ocular Trauma, Retinopathy and Macular Hole. Read More

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Viaan Eye & Retina Centre

Airport Distance: 20 kms from Indira Gandhi International Airport, New Delhi.
Location – Plot No. – 2227, Near, Wazirabad Rd, Wazirabad, Sector 57, Gurugram, Haryana 122011

Brief about Hospital:

Discover Excellence in Eye Care:

At Viaan Eye & Retina Centre, we take pride in being recognized as the best eye hospital in Gurgaon. Our commitment is to deliver state-of-the-art diagnostic and therapeutic services across all ophthalmic subspecialties. With a focus on utilizing cutting-edge technology and combining it with the expertise of our skilled professionals, we ensure the highest standards of eye care.

Our Unique Approach:

What sets us apart is our guiding philosophy – to provide ethical eye care by integrating the latest technology with human intelligence. We believe in delivering not just routine eye-care services but also advanced diagnostic and therapeutic solutions for vitreous and retinal diseases. Our expertise extends to performing Phacoemulsification surgery for Cataracts, showcasing our dedication to comprehensive eye care. Read More

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