Material and methods. 110 children with congenital cataract and 16 with lens subluxation aged 1–17 years (on average 8.7±2.3) were under observation, 57 of them boys and 69 girls. All patients were examined using standard ophthalmological techniques: visometry, autorefractometry, keratometry, ultrasound biometry, an optical biometer IOL Master-500 was used to calculate IOL. Surgical treatment was required only by patients with monocular vision – with a number of 32 (45 eyes) and 6 (11 eyes). Surgical method of traetmen was presented in Saint-Petersburg brunchof S. Fyodorov Eye Microsurgery Federal State Institution. It included phacoaspiration, implantation of IOLs, including monofocal, toric and IOLs with aExtended Depth of Focus (EDOF). In cases of congenital pathology of the ligaments, an intracapsular ring (ICR) was used, including its suture fixation. Results. Children with congenital cataracts showedseveral prognostic symptoms – relatively favorable, conditionally favorable, negative and critical. Surgery of the first two of them allowed to increase monocular visual acuity (with correction) in the range from 0.1–0.4 (44.0%;) to the level of 0.9 (31%), all in binocular cases. Patients with negative symptoms (strabismus) showed low vision due to functional disorders, especially with congenital amblyopia (caused by obscuration, strabismus, and refractive changes). It required long-term pleoptoorthoptic treatment, but without a guarantee of restoration of binocularity. Finally, children with critical symptoms had extremely low vision (less than 0.09 and up to light perception) and was practically not acceptable for rehabilitation. Children with lens subluxation also required specific surgery. Their monolateral visual acuity with correction ranged from 0.13 to 0.39 (children 3–7 years old) and 0.13–0.8 (12–15 years old), that was sufficiently high, but without binocularity. Key words: congenital cataract, subluxation of the lens, clinical refraction, axial length, strabismus
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