History A healthy 12-month-old boy presented to the ophthalmologist for misaligned eyes. A cataract of the right eye was noticed and patient was referred for further treatment. A "pocket" in the back of the left eye was also noted. Patient's parents said that he has been crossing his eyes since birth, but the crossing had worsened in the past few months. They have been patching the left eye for 1-1.5 hours daily, with no improvement. Examination The patient was in no acute distress.
He was able to fix and follow in both eyes, with a strong fixation preference in the left eye. Cycloplegic refraction revealed an error of +2.00 in both eyes. The patient had esotropia of 10-15 prism diopters in the right eye. He had full extraocular movements and normal pupillary response in both eyes. Posterior segment exam showed a posterior lenticonus cataract with posterior capsular opacification in the…
