Management of the Posterior Capsule in Congenital Cataracts

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Abstract
Amblyopia is the most serious problem associated with congenital cataracts. In their management, every effort should be directed toward treating the amblyopia. The treatment is surgical, optical, and occlusion of the preferred eye. The surgical component of the treatment should be performed within the critical period to avoid intractable deprivation amblyopia, and consist of a technique that insures the pupillary space to remain clear. Posterior lens capsulectomy with anterior vitrectomy is required to assure this result. However, cystoid macular edema has been reported with this approach. At present, probably there is greater risk to final visual acuity from intractable amblyopia resulting from the cloudy intact posterior lens capsule than from cystoid macular edema.

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