Result | Recommendation |
Objective visual acuity was not achievable due to poor cooperation in 32% of patients over the age of 5. Poorer cooperation is more likely in nonverbal patients than verbal patients. | Providers should be aware of this challenge. The red reflex exam and retinoscopy to determine the visual significance of cataracts is a useful tool in these instances. |
39% of eyes in patients with DD developed a complication, with aphakic glaucoma and visual axis opacification being the most common occurrences. | Counsel families regarding the risk of these postoperative occurrences and need for intervention. Exam under anesthesia may be required in some circumstances. |
Visual axis opacification is more likely in patients with IOLs than those who are aphakic. | Visual axis opacification is a known occurrence after pediatric cataract surgery. Counsel families regarding the risk of these postoperative occurrences. |
Patching is universally difficult in both verbal and nonverbal children with DD. | Counsel families to anticipate this challenge and be given options on alternative patch modalities. |
Verbal patients are more compliant with glasses treatment than nonverbal patients. | Counsel families of nonverbal patients to anticipate this challenge. In some situations, an alternative method of refractive correction may be considered. |
Comorbid diagnoses of RD and cataract are more likely when the patient has self-injurious behaviors. | Maintain a higher suspicion for RD in patients with DD and self-injurious behavior presenting with complete cataracts. |