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-: (A) Immediately, (B) At 2 months of age, (C) At 1 year of age when the globe becomes normal sized, (D) After 4 years when entire ocular and orbital growth becomes normal
Answer is A. 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.