<prompt> A child has got a congenital cataract involving the visual axis which was detected by the parents right at bih. This child should be operated-ImmediatelyAt 2 months of ageAt 1 year of age when the globe becomes normal sizedAfter 4 years when entire ocular and orbital growth becomes normal  <response>: Congenitla unilateral cataract ivolving visual axis requires urgent surgery, as early as possible, i.e. within days. Congenital bilateral cataract i Dense:- Early surgery by 4-6 weeks of age. ii Paial:- Regular followup. Congenital unilateral cataract i Dense or involving visual axis:- Urgent surgery within days. ii Paial:- Observation. Ref: Ophthalmology by Duker 2nde p.420; Parsons 22nde p.27021ste p.266, 267; Khurana 7the p.1924thge p.174. 