Vitrectomy instrumentation is the preferred method since the lens material is very soft. The whole procedure can be performed using one intraocular instrument. Young eyes develop capsular opacification very quickly necessitating primary capsulectomy at the time of cataract extraction. An ophthalmology consultation is essential to prevent visual loss as well as make the appropriate diagnosis of the type of cataract. A red reflex is essential not only in the newborn nursery but in all office visits.
Prognosis is poorer in persons with other ocular or systemic involvement.
Removal of the cataract is only the beginning. Awareness of the risk of potential visual loss either from amblyopia, retinal detachment, or glaucoma. Possible need for repeated surgical procedures, including secondary lens implant if other modalities of refractive correction fail. If this is a de novo chromosomal change or a familial abnormality, all siblings and future offspring are at risk. Some diseases may be preventable if diagnosis is made early.