The visual rehabilitation of children with bilateral congenital cataracts is facilitated by removing both cataracts simultaneously since both eyes are more likely to have the same visual experience. Wright  has advocated bilateral patching for up to 2 weeks for infants with both unilateral and bilateral congenital cataracts to prevent amblyopia from developing. By performing simultaneous cataract surgery, the risk of unequal visual input to either eye can be minimized.
• Bilateral simultaneous cataract surgery may be preferable in infants at increased risk of complications with general anesthesia
• The risk of endophthalmitis should be minimized by taking special precautions such as using a separate instrument tray for each eye
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