Treatment of choice for congenital cataract is –: (A) Pharmacotherapy, (B) Combined cataract surgery and Goniotomy, (C) Cataract surgery with IOL implant and primary posterior capsulotomy, (D) Pars plana lensectomy with no IOL implant
Answer is C. Extracapsular cataract extraction (ECCE) with primary posterior capsulectomy and anterior vitrectomy is the procedure of choice (via limbal or pars plana approach). This is done by phacoemulsification.
After cataractous lens extraction, the child is treated:-

i) If < 2 years old → Extended wear contact lenses.
ii) If > 2 years old → Posterior chamber IOL implantation.