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 …