Pediatric cataract surgery: challenges

This review examines pediatric cataract surgery via the challenges and complications that must be considered by the treating physician. The following is structured to examine challenges in clinically relevant categories, each with a brief background, philosophy, incidence and/or outcomes when available, and an overview of interventions and treatment modalities. The latter part of each segment contains a summary of data and/or comments published from the infant aphakia treatment study, a prospective, randomized controlled trial that compared primary intraocular lens implantation to aphakia corrected with a contact lens when operating for unilateral cataract from 1 to 7 months of age. The infant aphakia treatment study authors have published clinical data out to 5 years of age in their study cohort.