Minh, 6 years old, was diagnosed with posterior subcapsular cataracts in both eyes, a condition often linked to corticosteroid exposure. Specialist Doctor I Nguyen Duc Huy, from the High-Tech Ophthalmology department at Tam Anh General Clinic District 7, noted that while cataracts are typically observed in individuals aged 60 and above, a few cases occur in younger patients, including newborns. These early-onset cases can stem from genetic factors, metabolic disorders, eye injuries, prolonged use of corticosteroids, or chronic eye inflammation.

Minh's family reported that from 4 months old, he frequently suffered from sore throats and bronchitis, for which he was treated with various medications containing corticosteroids. By the age of 5, Minh was notably shorter than his peers, despite adequate nutrition and examinations by nutrition and endocrine specialists. Blood tests revealed abnormally high corticosteroid levels, leading doctors to suspect that the long-term use of these drugs had affected his height development, causing stunted growth. Following medical advice, his bronchitis medication was changed, and his height improved, increasing by 7-8 cm.

Doctor Huy uses a slit lamp to observe Minh's eye structure. Photo: Tam Anh General Hospital.

Doctor Huy explained that corticosteroids are vital in medicine, used to reduce inflammation, combat allergies, and suppress the immune system in various conditions. However, prolonged high-dose administration carries significant side effects, including the risk of cataracts. Currently, no medication or procedure can restore clarity to a cloudy lens. Minh's treatment primarily involves monitoring, managing the underlying cause, and considering cataract surgery if necessary.

Early-onset cataracts in children necessitate closer monitoring compared to adults, as their visual system is still developing. If cataracts progress rapidly or lead to sustained vision loss, children face a risk of amblyopia, potentially causing permanent vision impairment even after subsequent surgery.

Nhat Minh