Symptoms of Childhood Cataracts
Symptoms of childhood cataracts depend on the size, location, and whether one or both eyes are affected. Some are subtle and only discovered through routine eye exams, while others present early and clearly. Recognising symptoms allows for early treatment and improved visual development.
1. White Pupillary Reflex (Leukocoria)
A common and visible sign is a white or grey reflection in the pupil, especially noticeable in flash photographs. Instead of the typical “red eye” effect, the pupil may appear milky or white.
2. Poor Visual Response | Symptoms of Childhood Cataracts
Infants may not follow faces or toys as expected. This lack of visual attention or eye contact can signal vision impairment, particularly in bilateral cataracts.
3. Nystagmus (Wobbling Eyes)
Uncontrolled eye movements may develop if vision is severely impaired in early infancy. Nystagmus typically indicates that visual development is not progressing normally.
4. Strabismus (Crossed Eyes)
Misalignment of the eyes is often associated with unilateral cataracts, as one eye fails to receive clear visual input and falls out of sync with the other.
5. Sensitivity to Light | Symptoms of Childhood Cataracts
Children with cataracts may squint, turn away from bright lights, or seem uncomfortable in well-lit environments. This occurs when light scatters through the cloudy lens.
6. Delayed Motor Development
Because vision plays a role in motor skills, delayed crawling or walking may be linked to undiagnosed cataracts.
7. Blurred or Distorted Vision (in Older Children)
In children old enough to verbalise, symptoms may include:
- Blurred vision
- Double vision
- Difficulty reading or recognising objects
Symptoms of childhood cataracts often emerge in infancy, but parents and caregivers must remain vigilant as some may only present later. Early ophthalmic screening is essential, especially in high-risk babies.
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