Abstract
Objective: To report a case of lamellar congenital cataract not associated with systemic syndromes or congenital malformation, presenting the adopted approach. Case Description: Male, five years old, with no comorbidities and no changes in the Red Reflex Test, referred for follow-up at the Ophthalmological Center of Minas Gerais in 2017, complaining of intense photophobia. The examination revealed a slight reduction in visual acuity, lamelar cristalline opacities in both eyes with a free visual axis, absence of changes in ocular motility and normal eye pressure levels. Final Considerations: Early detection of ophthalmic changes is of Paramount importance in minimizing the impact of eye diseases on children’s psychomotor and cognitive development. Despite the importance of the Red Reflex Test, lamellar cataracts may have normal or close to normal red reflex and are no longer diagnosed. In this context, even in the absence of visual difficulties or syndromic diseases, an anual visit to the ophthalmologist is essential during the first years of life to diagnose borderline cases.