Complications and Recovery from Childhood Cataracts
Complications and recovery from childhood cataracts depend on the timing of treatment, type of surgery, and post-operative care. While early intervention greatly improves outcomes, untreated or poorly managed childhood cataracts can result in permanent vision loss.
1. Amblyopia (Lazy Eye)
This is the most common complication. If the brain does not receive a clear image from one or both eyes during early development, it may “ignore” that input, leading to reduced vision even after surgery.
- Treated with patching, glasses, or vision therapy
- Success depends on age and adherence to treatment
2. Glaucoma | Complications and Recovery from Childhood Cataracts
Up to 15–20% of children who undergo cataract surgery may develop glaucoma later, especially if operated on in infancy. Regular pressure checks are essential.
3. Posterior Capsule Opacification (PCO)
Even after surgery, a thin membrane behind the lens implant can become cloudy. This is treated with a minor laser procedure or surgical cleaning.
4. Intraocular Lens (IOL) Complications
In rare cases, the IOL may become displaced or not focus correctly as the eye grows. Follow-up refraction and lens adjustment may be needed.
5. Visual Development Challenges
Delayed or limited visual stimulation in early life can impact:
- Depth perception
- Eye–hand coordination
- Learning and reading skills
These issues can be minimised with timely support and therapy.
6. Emotional and Social Impacts
Children with visible eye conditions or glasses may feel self-conscious. Support groups, counselling, and positive reinforcement from parents and teachers play a crucial role in psychosocial recovery.
7. Long-Term Prognosis | Complications and Recovery from Childhood Cataracts
With prompt treatment and follow-up:
- Most children develop good functional vision
- Some may require glasses or other visual aids throughout life
- Severe cases may still result in reduced vision or blindness, particularly if diagnosis is delayed
By understanding and managing the complications, families can help ensure children reach their full potential with minimal visual limitations.
