Managing Bilateral Congenital Cataracts in Early Childhood: A Clinical and Surgical Perspective

Eva Imelda; Lakaeisya SY Lathifah; Dara Amalia Lubis; Nikhil Toshniwal; Sarra Mutiara Adev

doi:10.60084/ijcr.v3i2.318

Authors

Eva Imelda Department of Ophthalmology, General Hospital Dr. Zainoel Abidin, Banda Aceh 23126, Indonesia
Lakaeisya SY Lathifah School of Medicine, Universitas Syiah Kuala, Banda Aceh 23111, Indonesia
Dara Amalia Lubis School of Medicine, Universitas Syiah Kuala, Banda Aceh 23111, Indonesia
Nikhil Toshniwal Navneet Hospital, Solapur, Maharashtra, India
Sarra Mutiara Adev Medical Programme, Faculty of Medicine, Universitas Brawijaya, Malang 65145, Indonesia

DOI:

https://doi.org/10.60084/ijcr.v3i2.318

Keywords:

Lens opacity in infants, Pediatric ocular surgery, Irrigation aspiration , Primary posterior capsulotomy, Optical rehabilitation

Abstract

Congenital cataract is a leading cause of childhood blindness that demands prompt surgical intervention to prevent irreversible visual impairment. This case report presents an infant with bilateral congenital cataracts whose diagnosis and treatment were delayed beyond the optimal intervention window. The patient underwent cataract extraction using irrigation aspiration, primary posterior capsulotomy, and anterior vitrectomy. Intraocular lens (IOL) implantation was deferred due to considerations of the patient’s age and corneal diameter, and aphakia was managed with high-powered spectacles. Postoperative follow-up revealed improved visual responses, including fixation and following of light and objects, indicating positive visual development. This case highlights the importance of timely identification, appropriate surgical technique, and tailored postoperative visual rehabilitation in managing pediatric cataracts to optimize functional outcomes.

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