1. The cataract was of unknown etiology but in this age group with a normal-sized eye and white, semi-liquified cataract I would strongly suspect a ruptured posterior lenticonus type cataract. This child and most like him would be offered lensectomy, primary posterior capsulotomy (it’s usually abnormal or ruptured, if not it will opacify and the child is too young to easily YAG) combined with PCIOL. If the PC is too fragile, I will sometimes place the haptic sin the sulcus and the optic in the bag.

  2. Pariyo Charles asks: “What should have been the cause of the cataract in this 3 year old child and what kind of cataract surgery was offered to this child?”

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