What is to done of congenital cataract involving visual axis?
ANSWER: (D) Immediately operateREF: parsons 20th ed p, 257Timing of surgery in congenital cataract:BilateralUnilateralDenseEarly surgery to prevent stimulus deprivation ambylopiaPartialMonitor lens opacities and visual function and intervene if vision deterioratesDenseIf the u/1 cataract is dense and involves the visual axis it should be treated with urgent surgery and aggressive anti ambylopia therapy despite which results are poor , however if detected after 16 weeks surgery is not advised because ambylopia is refractoryPartialNonsurgical treatment with papillary dilation and c/1 occlusion to prevent ambylopia
Wait and watch
Operated when the baby reaches an appropriate age
Mydriatic s are given
Immediately operate
Congenital Cataract