Question:

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

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For congenital cataracts, surgery is generally recommended within the first few months of life to prevent amblyopia and optimize visual development.
Updated On: Jul 9, 2025
  • Medical management
  • Operate immediately
  • Surgery after 6 months
  • Surgery after 2 years
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The Correct Option is B

Solution and Explanation

A 2-month-old child presenting to the ophthalmology department suggests an urgent condition. In pediatric ophthalmology, certain conditions require immediate attention to prevent long-term vision impairment or other complications.

The question provides the following management options:

  • Medical management
  • Operate immediately
  • Surgery after 6 months
  • Surgery after 2 years

In this scenario, we must consider conditions that necessitate prompt surgical intervention in infants. One such condition is congenital cataract, which can lead to significant developmental visual impairment if not treated promptly.

Reason for Immediate Operation:

  • In cases like congenital cataracts, delaying surgery can result in deprivation amblyopia (lazy eye) due to inadequate visual stimulus during the critical period of visual development.
  • Immediate or early surgery within the first few months of life optimizes visual prognosis and prevents irreversible vision loss.
  • For other congenital obstructions or structural abnormalities of the eye present at birth, immediate intervention is often necessary to ensure proper development.

Thus, given the age and the urgency inferred by the options, operating immediately is the ideal management for such conditions to ensure the best possible visual outcomes.

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