Pediatric Cataracts

Approximately 40% of acquired pediatric cataracts are secondary to trauma, and as many as approximately one third of pediatric cataracts are inherited. The basic approach to the patient with pediatric cataracts is to determine whether the cataract is an isolated finding, part of a systemic abnormality, or associated with ocular disease. When several members of the same family are affected by congenital cataracts, a hereditary origin may be assumed. Autosomal dominant hereditary patterns are the most frequent mode of transmission.

X-linked cataracts are rare and occur primarily with the ocu-locerebrorenal syndrome. Congenital or infantile cataracts have been described in association with a large number of congenital anomalies. (See online content for additional information on pediatric cataract differential.)

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