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Prompt surgery has to be performed in cases with dense congenital cataract: if nystagmus has developed, the amblyopia is unfortunately irreversible. A treatment regime based on surgery within 2\u2003months of life, combined with prompt optical correction of the aphakia and occlusion therapy with frequent follow\u2010up, have been successful in both unilateral and bilateral cases. The surgery ought to include anterior and posterior capsulorexis in all children at the present time. Intraocular lens implantation has been safely performed below the age of 1\u2003year and has also been successfully performed in bilateral cases. Anterior dry vitrectomy should be performed in preschool children to avoid visual axis opacification. Visual axis opacification is the most common complication found after cataract surgery in children. Secondary glaucoma is by far the most sight\u2010threatening complication and is, unfortunately, common in the newborn so lifelong follow\u2010up is essential in these cases.<\/jats:p>","DOI":"10.1111\/j.1600-0420.2007.01007.x","type":"journal-article","created":{"date-parts":[[2007,10,18]],"date-time":"2007-10-18T11:58:38Z","timestamp":1192708718000},"page":"698-710","source":"Crossref","is-referenced-by-count":41,"title":["Paediatric cataract 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