Pediatric cataracts.

The presentation, etiology, diagnostic examination, and management of pediatric cataracts are discussed in this article. If untreated, cataracts result in significant visual deprivation. Evaluation of the pupillary light reflex should become an integral part of every pediatrician's physical examination. Patients should be referred for a complete eye examination whenever a cataract is suspected because early intervention may be the most important factor in determining a good visual outcome.

Hemihang-back recession: description of the technique and review of the literature.

We describe a modification of the hang-back and loop techniques that we call the hemihang-back recession, in which the muscle is reattached to the sclera posterior to the original insertion with a single, absorbable suture. We recommend it for difficult strabismus cases, specifically when recessions of 7 mm or more are required.