Girl presents with unilateral visually significant cataract

A healthy 8-year-old girl presented to the pediatric ophthalmology service at the New England Eye Center, Tufts Medical Center, for a surgical consultation of a visually significant cataract of her left eye.
Her ocular history included cortical cataract, astigmatism and anisometropic amblyopia of her left eye. The cataract was initially diagnosed 4 years ago by an outside ophthalmologist who had initially attempted amblyopia treatment with glasses and patching. When the patient’s vision did not improve, she was referred for surgical evaluation. The patient was born full term by an