Paediatric cataract is one of the major causes of childhood blindness, constituting almost 10—12% of cases. A number of these cases are associated with syndromes, especially bilateral cases. Common syndromes associated are Downs, patau, trisomy 18 etc. Congenital heart disease is one of the commonest childhood birth defects which affects almost 1% of live child births.1'2 A number of these cases, especially syn-dromic, have a number of ocular pathologies like ptosis, squint, cataract, Optic disc hypoplasia, retinal haemorrhages and vascular tortuosity. However, there are very few studies which document ocular pathologies and congenital heart disease. A.M. Mansour et al.3 in 2004 studied 240 cases of congenital heart disease and ocular pathologies. Only six of their cases had congenital cataract, of which only one was non-syndromic. There are no other case reports available which document a case of bilateral cataract in a child of cyanotic congenital heart disease, which is non-syndromic.
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