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.