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All babies born in the United Kingdom are routinely examined at birth
and at 6-8 weeks to detect cataract and other serious ophthalmic
disorders. In a national cross sectional study by the British
Congenital Cataract Interest Group (p 362), however, only 47% of
children with newly diagnosed congenital and infantile cataract in one
year were detected through these examinations. Although 57% of the
children had been examined by an ophthalmologist by 3 months, 33% were
not assessed until after their first birthday. As treatment of dense
cataract must take place within the first 3 months to be fully
effective, steps need to be taken to increase the proportion of cases
detected by this age.