This patient is just 14 months old and presents with a total white cataract in one eye. Hopefully this was not present at birth because that would mean a very dense amblyopia from so much visual deprivation. Our guest surgeon does a great job with this tough case with the bimanual approach that is typical for these patients. The IOL is inserted via a limbal-scleral incision which I think is a great idea. Remember that the corneas in babies are very different from adult and geriatric corneas because they are more elastic and they will not seal as well without sutures. In fact, in this case the surgeon even sutures the two small paracenteses to ensure integrity. An IOL is implanted with a post-op hyperopic target selected to account for the refractive shift that happens with axial elongation as the eye continues to grow. We have more cases of baby lensectomy available for your learning at CataractCoach.com — just use the search function there.
