Congenital cataracts presenting as a childhood squint
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
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.
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