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Case Report

Congenital cataracts presenting as a childhood squint

Authors:

Shanel Sharma ,

Paediatrics and Strabismus Service, Moorfields Eye Hospital, London; Eye and Laser Surgeons, Bondi Junction, Sydney, Australia; University of New South Wales, Sydney, Australia; University of Sydney, Sydney, Australia; University of Wollongong, Wollongong, Australia
About Shanel
FRANZCO
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Chloe Lafferty,

Paediatrics and Strabismus Service, Moorfields Eye Hospital, London
About Chloe
BSc (Hons)
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G. G. W. Adams

Paediatrics and Strabismus Service, Moorfields Eye Hospital, London
About G. G. W.
FRCS(Ed) FRCOphth
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Abstract

Aim: A timely reminder that a small posterior subcapsular cataract could present with a squint.

Methods: A case series is reported of 4 patients who were referred to the paediatric ophthalmology service for management of a squint.

Results: In all 4 cases the strabismus was secondary to the undiagnosed posterior subcapsular cataract.

Conclusion: These cases emphasise the importance of carefully examining the red reflex in any child presenting with a squint. If the squint does not fit into the typical pattern of presentation, or a smudge appears to be present when performing retinoscopy or indirect ophthalmoscopy, a further assessment of the media using a direct ophthalmoscope or a slit lamp should be undertaken to check for a congenital cataract. A portable slit lamp can be very helpful in examining small children.

DOI: https://doi.org/10.22599/bioj.76
How to Cite: Sharma, S., Lafferty, C. and Adams, G.G.W., 2012. Congenital cataracts presenting as a childhood squint. British and Irish Orthoptic Journal, 10, pp.64–65. DOI: http://doi.org/10.22599/bioj.76
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Published on 01 Aug 2012.
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