A child has got a congenital cataract involving the visual axis which was detected by the parents right at bih. This child should be operated-
Congenitla unilateral cataract ivolving visual axis requires urgent surgery, as early as possible, i.e. within days. Congenital bilateral cataract i) Dense:- Early surgery by 4-6 weeks of age. ii) Paial:- Regular followup. Congenital unilateral cataract i) Dense or involving visual axis:- Urgent surgery within days. ii) Paial:- Observation. Ref: Ophthalmology by Duker 2nd/e p.420; Parson's 22nd/e p.270&21st/e p.266, 267; Khurana 7th/e p.192&4thg/e p.174.
Immediately
At 2 months of age
At 1 year of age when the globe becomes normal sized
After 4 years when entire ocular and orbital growth becomes normal
Lens