A 4 year child came to us with complain from school about difficullt in vision. On examination, his vision in Right eye is finger counting 2 meters and in left eye 1 meter, the child has tilting of neck towards left side, divergent squint in left eye, nystagmus in both eye. Anterior segment appears normal except lenticular opacity ( zonular cataract) both eyes.
On fudus examination mild disc pallor seen, rest retina appear settled. A Scan in right eye is 20.34 mm and left eye 22.60 mm. Kindly advise management plan.