Abstract
Blindness in infants due to congenital cataract is up to 5-20% of all the vision loss of which 25% is due to Congenital Rubella Syndrome (CRS). CRS is a constellation of multi-system abnormalities with each posing its own variant of anesthetic dilemmas. CRS affects all the structures with rubella cataract being the commonest in the early age. Anesthetic management becomes a challenge in these rubella infants in view of Low Birth Weight (LBW), small infants, PDA/PS (pulmonary stenosis), ASD, PHT (pulmonary hypertension). Here we discuss the anesthetic management of three CRS infants coming for cataract surgery presenting with unique problems of the syndrome such as congenital cardiac septal defects, PDA, pulmonary hypertension and unanticipated difficult airway. Knowledge of the disease, anticipation preparedness, extreme caution and multidisciplinary approach for management is required for a successful outcome.
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