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Prof. Dr. Ilgaz YALVAÇ SAĞDIÇ – Göz Hastalıkları Uzmanı

Cataract Surgery in Children

In the case of clouding of the eye’s lens, it is a surgical procedure used in the treatment of the problem, which is generally associated with aging and is a condition that affects a person’s vision. This procedure aims to significantly improve the patient’s low vision quality and is a fast, effective, and safe application option. Cataract surgery in children is performed under local anesthesia, which minimizes the risk of general anesthesia on the patient. The basic steps of this operation; first, the specialist doctor makes a small cut (incision) in its front part using microsurgical instruments.

Then, the lens is broken into pieces using ultrasound energy. This process is called phacoemulsification and is most of the time painless. After the lens is broken into pieces, the surgeon carefully removes these pieces and places an artificial lens, namely an intraocular lens (IOL), in its place. This artificial lens is pre-customized according to the patient’s eye measurements and must fit perfectly inside it. The IOL is made of biocompatible materials such as silicone, smart, or PMMA (polymethyl methacrylate) and helps correct the patient’s vision.

Things to Consider to Avoid Cataract Disease

Healthy Nutrition: Consume vegetables and fruits that are especially rich in antioxidants such as vitamin C and vitamin E. Studies have shown that these vitamins can reduce the risk of its formation. Consuming healthy fats like Omega-3 fatty acids can also be beneficial.

Regular Eye Examinations: One of the best ways to protect your health is regular examinations. Your doctor can detect its early symptoms and may recommend cataract surgery in children to stop the progression of the disease.

Avoid Smoking: Smoking increases free radicals that can lead to a number of problems, including this disease. Quitting smoking or never starting can reduce the likelihood.

Reduce Alcohol Consumption: Excessive alcohol consumption can increase the risk of formation. Limit your alcohol consumption and keep it at healthy levels.

Use Sunglasses: The sun’s ultraviolet (UV) rays can contribute to formation. Therefore, it is important to use sunglasses that protect from UV rays.

Control of Chronic Diseases: Chronic diseases such as diabetes and high blood pressure can increase the risk of formation. Proper management of these diseases and keeping them under control can reduce the risk. This situation can be frequently seen in individuals at a young age. In such a situation, cataract surgery in children may need to be performed.

Physical Activity and Exercise: Regular physical activity and exercise can help protect overall health and prevent a number of health problems, including this.

Although these strategies help reduce the risk, an important point to remember is that it is mostly associated with aging and therefore cannot be completely prevented in every case. Therefore, regular examinations become especially important as you age.

How is Cataract Surgery Done in Children?

Prior Preparation: Before the procedure, the measurement and examination of their eyes are made. This is necessary to select the right lens and plan the operation.

Anesthesia: Children are mostly taken into the application under general anesthesia. This is necessary so that the child does not move and is comfortable during the procedure.

Procedure: These individuals are healed to be treated. The surgeon makes a small cut in its front and breaks the clouded lens into pieces using a special ultrasound device. These pieces are then carefully removed. The next step is generally placing an intraocular lens (IOL) where it was removed.

Intraocular Lens (IOL): As in adults, children also receive an IOL. However, in some cases, depending on the size of the child’s eye and other factors, the surgeon may prefer not to insert a lens. In this case, it may require using glasses or contact lenses.

Recovery: The recovery process can take longer than in adults and requires more follow-up. The procedure area will probably be bandaged for a while, and the child may need to wear special protective glasses to prevent them from scratching or rubbing their eye. Additionally, antibiotic drops and some medications are also given.

Follow-up Visits: Children’s eyes grow and change rapidly, so regular follow-up visits are necessary. These visits are important for the early detection of any complications and the planning of additional treatments when necessary.

As with any surgical procedure, cataract surgery in children also involves risks. However, with modern techniques and experienced surgeons, it can be performed successfully and can significantly improve the person’s vision.

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