Unilateral congenital cataracts and their management

Eight cases of unilateral congenital cataract were operated in the first two years of life. They were treated with contact lenses fitted within the first three weeks postoperatively and with patching of the good eye. None of these eyes achieved better than 3/100 vision. This dense amblyopia would seem based on the marked refractive difference. In addition to the ocular aspects, the psychological aspects of this evaluation would indicate that such surgery and postoperative management is probably not indicated for unilateral congenital cataracts.