Question

A 2-month-old child is brought to the ophthalmology OPD with the following presentation. What is the ideal management? 

• A. Medical management
• B. Operate immediately
• C. Surgery after 6 months
• D. Surgery after 2 years

Hint:

For congenital cataracts, surgery is generally recommended within the first few months of life to prevent amblyopia and optimize visual development.

Answer 1

The Correct Option is B

The image shows a child with congenital cataracts, a condition that often presents in the early months of life and can significantly impact vision. Congenital cataracts should be treated early to prevent amblyopia (lazy eye) and permanent visual impairment. Surgery is typically performed as early as possible, often within the first few months of life. Delaying surgery can lead to long-term visual and developmental issues, including strabismus and nystagmus. - Medical management is not appropriate in this case as surgery is necessary to remove the cataract and restore the visual pathway. - Surgery after 6 months may still risk visual development delay, and earlier intervention is preferred. - Surgery after 2 years is too late, as the child may already suffer from irreversible visual impairment by that age.