Top of pageSummaryDespite considerable recent advances in surgical technique, cataract is an increasingly important cause of blindness in children in Africa and remains a significant cause worldwide. A variety of specialist skills and equipment is required for preventing or curing this blindness, and therefore, even in the developing world, management of the condition should be undertaken at specialist centres. Long delays in presentation are too common in developing countries and our data suggest that this is the most important factor in limiting visual outcome, highlighting the need for better liaison between the specialist tertiary centre and primary and secondary level health workers and other community workers with high coverage access to children in order to facilitate earlier identification and referral.
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