Series of cases of congenital cataract in the family

Abstract

Cataract is one of the main causes of preventable childhood blindness. It can be either hereditary or non-hereditary. Paediatric cataracts are idiopathic in majority of cases. Major challenge in pediatric cataract is to overcome amblyopia. Early diagnosis and prompt treatment can result in good visual prognosis.In this case series, we present three siblings having congenital cataract. They presented to our hospital in their mid and late twenties for the cataract surgeries. Detailed examination of these cases were done and many other systemic abnormalities were detected along with ocular findings. Small incision cataract surgery under GVP under GA was done for all three cases.There was no history of congenital cataract in the family. one of the sibling younger brother did not have congenital cataract and other abnormalities. Early diagnosis and treatment avoids long-term adverse sequalae like strabismus and amblyopia. Late presentation, cataract surgery can be done and we can accept visual outcome as shown in these cases. Visual rehabilitation with adequate compliance can have a benefit in improving visual acuity and binocularity.Even though early surgical intervention is mandatory to have adequate visual outcome, nevertheless visual rehabilitation can also be expected in congenital cataracts with late presentation as seen in these cases.