Congenital Cataracts Urgency — RACP Paediatrics MCQ

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ModerateGenetics & MetabolicCongenital Cataracts UrgencyRACP Paediatrics

A newborn has bilateral cataracts detected at the newborn examination. What is the most important first step?

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Correct answer: E — Urgent ophthalmology referral for assessment and surgery within 6-8 weeks to prevent deprivation amblyopia

Bilateral congenital cataracts require urgent surgery (within 6-8 weeks) to prevent deprivation amblyopia. Investigation for underlying causes (TORCH, metabolic, genetic) should proceed concurrently.

Reference: RCH Melbourne – 2024