Congenital Cataract

Congenital Cataract
What is congenital cataract?

Congenital cataract is a condition in which the natural lens of the eye is cloudy at birth or develops during early childhood. This clouding prevents light from properly reaching the retina and can affect normal visual development.

Congenital cataracts may be caused by:

  • Genetic factors or family history
  • Intrauterine infections (such as rubella)
  • Metabolic or systemic disorders
  • Developmental abnormalities

Signs and symptoms may include:

  • White or grayish reflex in the pupil (leukocoria)
  • Poor visual response or lack of eye contact
  • Abnormal eye movements (nystagmus)
  • Squint (misalignment of the eyes)

If not treated early, congenital cataract can lead to permanent visual impairment due to deprivation amblyopia (lazy eye). Early detection and timely management are essential for normal visual development.

Treatment is primarily surgical and involves removal of the cloudy lens. Depending on the child’s age and condition, visual rehabilitation may include:

> Intraocular lens (IOL) implantation
> Contact lenses or glasses
> Amblyopia therapy (patching)

Postoperative care is crucial and includes:

  • Regular use of prescribed eye drops
  • Frequent follow-up visits
  • Visual rehabilitation with glasses or contact lenses
  • Amblyopia therapy, if required
  • Long-term monitoring is essential to ensure proper visual development.

Long-term monitoring is essential to ensure proper visual development.

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