[Congenital cataract extraction in children during lst months of life].

The examinations have involved 89 children with bilateral congenital cataracts aged 2-6 months (n = 68) and 7-10 months (n = 21). The preoperative examinations have been carried out under anesthesia and included biomicroscopy, retinoscopy, ultrasonic and electrophysiologic examinations. A number of specific clinical and functional features have been revealed in these babies. Surgery has been performed in 148 eyes. Various types of microsurgical techniques of the closed type have been employed: aspiration-irrigation method; operations with ultrasonic equipment y3X-phi-p04-0 and Sparta, lensectomy using the Okutom system. An anterior approach to the lens via an incision in the limbus has been used. Good optical and functional results have been achieved. No grave intraoperative complications have been recorded. The postoperative period has been areactive in 84.5% of cases. In 6% of cases secondary cataracts have developed, mostly of Elschnig's pearls. Early surgery (at the age of 2-6 mos) is indicated in all forms of congenital cataracts inducing deprivation amblyopia.