Abstract
The visual results achieved after surgery in 38 patients with monocular congenital cataract and 34 with binocular congenital cataracts are reported. Thirty-two of the monocular aphakics were corrected postoperatively by contact lenses and six by intraocular lenses. Only one of the 32 eyes corrected with contact lenses achieved a visual acuity of 6/60 and 31 demonstrated a visual acuity lower than 6/60 (20/200). On the other hand, out of the six patients corrected by intraocular lenses, three whose visual acuity could be reliably recorded all achieved a visual acuity better than 6/60 and two of them reached a visual acuity of 6/12(20/40). From our group of patients with binocular congenital cataract it appears that delayed surgery beyond one year of age when the lens opacity allows undisturbed activity resulted in better visual acuity than in eyes whose opacity disturbed the child's activity and necessitated earlier surgery.
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