You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information.
What is Surgery of choice of congenital cataract is and explain in detail?
Childhood cataracts,(congenital, developmental as well as acquired) can be dealt with anterior capsulotomy and irrigation-aspiration of the lens matter or lensectomy.The needling operation (which was performed in the past) is now obsolete. Note- most of the books give lensectomy or aspiration as the surgery of choice for congenital cataracts. a peripheral rim of a capsule is usually left behind for secondary IOL implantation. Thus the closest possible answer is ECCE. Since glaucoma occurs in 10% of congenital cataract surgery, many surgeons delay the cataract surgery. Extracapsular cataract extraction with primary posterior capsulectomy and anterior vitrectomy is the procedure of choice ( limbal or pars plana approach). Ref khurana 6th edition pg 456