[Functional results after surgery of congenital cataract].

In this retrospective study, the functional results of a total of 14 children with congenital cataract have been analyzed. Four had unilateral and 10 cases bilateral cataract. All children were operated on before the age of 4 months and received a silicone permanent-wear contact lens a few days after the operation. At the time of surgery in all children with unilateral cataract we found additional pathology of the eye, such as microcornea or strabismus. The children with bilateral cataract had secondary eye disorders such as nystagmus and strabismus. After an average follow-up time of 4.5 years, the children with unilateral aphakia reached a visual acuity of 10/200 in the cases with bilateral aphakias an average visual acuity of 60/200 was obtained. In the future, improvement of the functional results can only be achieved when the diagnosis and therapy take place before secondary eye disorders develop such as nystagmus and strabismus.