Suggest Treatment For Cataract In Eye Of Child

Posted on Wed, 15 Apr 2015

Question: hello dr...my 5 month 15 days son had catract in both eyes since birth...his first eye surgery has been done when he was 3 months old....and second surgery was done when he was 4 months old...he has vision now but how much i dont know...he saw things when whenever i try to rotate anything around his eyes...he reacts when he saw her mothers face...but he has no focus...he saw things 5-10 seconds then he prefers to do whatever he want...he has no clear focus...i just want to know how much time will it take to focus him like other childs...as his whole development depends on his eye...thankss.reply soon...

Answered by Dr. Dadapeer K (31 minutes later)

Brief Answer:
It should develop by 6 months.

Detailed Answer:
Hello
Welcome to Health care Magic.

I am Dr. DADAPEER K, an Ophthalmologist and I will be answering your question.

I reviewed your history and the previous question you had asked to me through Health care Magic.

Maintaining focus over a object called as fixation develops by 3-4 months.
Since your child is focussing for 5-10 seconds I hope it should improve.
It should develop by 6 months.

Since he is operated for cataract there will be a delay. But since surgery was done quiet early the child will have good vision development.

I want to know few details like
Whether your child is using spectacles?
Whether surgery was done with intraocular lens implantation?

Hope I have answered your question and this information is helpful to you.

Do write back to me for further questions.

Thank you
With regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dadapeer K (16 minutes later)

he is using spectacles but for very less time...usually 15-20 minutes 2 or three times a day....and then he cry...lens was implanted during surgery...i dosent understand the word intraocular..,

Answered by Dr. Dadapeer K (6 minutes later)

Brief Answer:
The spectacles should be used for more time.

Detailed Answer:
Hello

Thank you for the follow up question.

Lens implanted inside the eye is called as intraocular lens.
You should somehow make your child to wear spectacles for more time. This will help in better improvement in vision.

I advice you to follow up till the child reaches 6 months of age.
Do follow up with your doctor once the child reaches age of six months.

Hope I have answered your question and this information is helpful to you.

Do write back to me for further questions.

Thank you
With regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dadapeer K (2 days later)

hello dr....my 5 month son is prescribed atro eye drops after cataract surgery once a day...sometimes i noticed his face turns red after using that drop and gets normal after some time...and his body gets warm as he is getting fever...so plzz tell me is this is the side effect of that eye drops...he also uses prednisolone eye drop 5 times and vigamox eye drops 3 times a day...plz reply soonnn

Answered by Dr. Dadapeer K (28 minutes later)

Brief Answer:
These symptoms indicate side effects of atro eye drops.

Detailed Answer:
Hello
Thank you for the follow up question.

Redness of face and increased body temperature indicate side effects of atro eye drops.
Atro eye drops contain atropine and these symptoms indicate side effects because of systemic absorption.
Hence you need to instil only one drop or replace it by atropine eye ointment and apply very little quantity inside the eye.
Eye ointment will have lesser side effects because of lesser systemic absorption.

Hope I have answered your question and this information is helpful to you.

Do write back to me for further questions.

Thank you
With regards

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Dadapeer K (6 minutes later)

but dr...his atro drops was prescribed for only 15 days and the time is completed today....and plz tell me the other 2 types of drops have any side effects or not...thanksss

Answered by Dr. Dadapeer K (6 minutes later)

Brief Answer:
The other two eye drops does not cause these side effects.

Detailed Answer:
Hello
Thank you for the follow up question.

The other two eye drops, prednisolone and vigamox does not cause these side effects. You need to continue these two eye drops.

Since you have stopped atro eye drops these side effects will not occur.

Hope I have answered your question and this information is helpful to you.

Do write back to me for further questions.

Thank you
With regards

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj