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-
**Core Concept**
The child in question has a congenital cataract that is affecting the visual axis, which is the direct path of light between the cornea and the retina. This condition can cause significant visual impairment if left untreated, and early surgical intervention is often necessary to restore vision and prevent amblyopia.
**Why the Correct Answer is Right**
In cases of congenital cataract involving the visual axis, surgical removal of the cataract is typically performed within the first few weeks or months of life. This is because the developing brain is most receptive to visual input during this period, and early surgical intervention can help to establish normal visual pathways and prevent amblyopia. The goal of surgery is to remove the cataractous lens and replace it with an intraocular lens implant, which allows light to pass through and reach the retina.
**Why Each Wrong Option is Incorrect**
**Option A:** This option is incorrect because delaying surgery until the child is older can lead to significant visual impairment and amblyopia.
**Option B:** This option is incorrect because laser treatment is not a suitable alternative to surgical removal of a congenital cataract involving the visual axis.
**Option C:** This option is incorrect because observation alone is not a suitable approach for treating a congenital cataract that is affecting the visual axis.
**Clinical Pearl / High-Yield Fact**
It's essential for pediatric ophthalmologists to perform surgery for congenital cataracts within the first few months of life to maximize the chances of achieving normal vision and preventing amblyopia.
**Correct Answer:** C. Surgery should be done as soon as possible.