The diagnosis of a congenital cataract can be made on the first day of life if a red reflux is not obtained in the newborn nursery. Early diagnosis and referral are important. Irreversible damage will occur if a congenital cataract is not treated in the first few months of life.
Because of the association of cataracts with other ocular and systemic disorders, a thorough ocular and systemic evaluation should be performed in any child who presents with a cataract. A genetic evaluation may be indicated in some cases as well.