A child has got a congenital cataract involving the visual axis which was detected by the parents right at birth. This child should be operated –

Congenital unilateral cataract involving visual axis requires urgent surgery, as early as possible, i.e. within days. However, you should keep in mind that surgery is inadvisable after 16 weeks (4 months) of age as the amblyopia is refractory Congenital bilateral cataract Dense :- Early surgery by 4-6 weeks of age. Partial :- Regular follow-up. Congenital unilateral cataract Dense or involving visual axis :- Urgent surgery within days. Partial:- Observation.