Vasavada et al . (J Cataract Refract Surg. 2009;35(3):519-28) suggested that good visual outcome can be obtained in microphthalmic patients with bilateral congenital cataract after early surgical intervention, with an acceptable rate of serious postoperative complications; 10% eyes had an incomplete anterior capsulorhexis, 6.7% had iris trauma, and 6.7% had peripheral extension of the posterior capsulectomy edge. The complications noted in postoperative period were posterior synechias in 35.7%, glaucoma in 30.9%, and VAO in 16.7% eyes.
Yu et al . (Korean J Ophthalmol. 2006;20(3):151-5) recommended secondary PC IOL implantation in pediatric cataract with microcornea and/or microphthalmos as a means of improving vision in order to avoid possible complications.
Often occurs with other ocular finding like anterior and posterior coloboma nystagmus
https://ghr.nlm.nih.gov/condition/microphthalmia gene list bcor, mmp4 etc
Sinha, Rajesh, et al. “Management of congenital cataract: A review.” Indian Journal of Ophthalmology, vol. 58, no. 6, Nov.-Dec. 2010, p. 563. Gale Academic OneFile, https://link-gale-com.i.ezproxy.nypl.org/apps/doc/A241320149/AONE?u=nypl&sid=AONE&xid=80b30689. Accessed 22 Mar. 2020.
https://www.eyeworld.org/article-microphthalmia-with-congenital-cataract
IOL inproved bcva in micro eyes
The SOX2 gene has been identified as a major causitive gene of micropthalmia . Observed in 15% of patients with congenital cataracts.
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