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Determining the age of onset of unilateral cataract using family photographs
  1. P Kim,
  2. C J Lyons
  1. Department of Ophthalmology, BC Children's Hospital, University of British Columbia, Vancouver, Canada
  1. Correspondence to Dr Christopher J Lyons, A136, Department of Ophthalmology, British Columbia Children's Hospital, 4480 Oak Street, Vancouver, BC, VGH 3V4 Canada; cjlyons{at}telus.net

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The management of unilateral congenital cataract remains challenging, and visual outcomes in these children are often disappointing.1 2 However, good visual outcomes may be achieved with early surgical intervention (cataract extraction preferably within 6 weeks), in conjunction with appropriate optical correction and aggressive occlusion therapy.1 3

Children who present late with unilateral cataract pose an interesting and important dilemma. When the cataract is acquired and develops later …

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