History:  This 10-year-old boy developed a cataract in the right eye around 6 years of age.  Since he was seeing well with his left eye, the family did not seek help until the child was 9 years old.  At that time, he had developed a dense cataract in the left eye which eventually rendered him essentially blind.  The cataract was removed in the left eye first, resulting in 20/25 vision.  The right eye had the same procedure exactly one week later.  Vision in this eye is counts fingers.  The right eye developed a large angle esotropia shortly after surgery was done.  Examination of both eyes reveals normal pseudophakic media and normal retina and optic nerve.  Prior to development of the cataracts, the patient seemed to have normal eyes.  There is no apparent physical reason for the poor vision in the right eye. Diagnosis:  acquired childhood cataract with amblyopia

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