Introduction. Pyramidal anterior cataract is a congenital cataract, often bilateral and effects anterior segment of a lens. Methods. Pyramidal cataract phacoemulsification with implantation of rollable intraocular lens was conducted. Objective. Presenting a rare case of congenital cataract. Results. Improved vision acuity limited with impaired eyesight due to congenital cataract. Conclusions. Congenital cataract removal in an adult may not improve visual acuity in an eye with impaired eyesight.
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