Long-term results of early contact lens use in pediatric unilateral aphakia

Eye & Contact Lens
Ying-Chun Ellin ChenB A Weissman

Abstract

To evaluate which factor(s) might predict excellent Snellen visual acuity results in unilateral nontraumatic pediatric aphakes. Retrospective review of all unilateral pediatric aphakic patients seen in a specialty contact lens clinic between 1982 and 2009. Inclusion criteria as follows: (1) cataract extraction before age 6 weeks, (2) no other health complications, (3) contact lens fitting within 3 weeks postsurgery, and (4) measurable subjective visual performance on a clinical Snellen acuity chart. Fifteen patients were identified: 10 patients with persistent fetal vasculature syndrome (PFV) and 5 patients with the diagnosis of idiopathic congenital cataract (ICC). Final Snellen acuity results showed seven patients (46.67%) developed excellent Snellen visual acuities (defined as 20/50 or better), four patients (26.67%) developed moderate Snellen visual acuities (20/125 to 20/60), and four total patients (26.67%) developed poor Snellen visual acuities (worse than 20/200). Analysis used descriptive statistics. Approximately 50% of our unilateral nontraumatic pediatric aphakic patients aged older than 5 years achieved excellent Snellen visual acuity in the aphakic eye. The amount of surgical or ocular complications seems to have ...Continue Reading

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Citations

Jun 26, 2013·Contact Lens & Anterior Eye : the Journal of the British Contact Lens Association·Minhee WooBarry A Weissman
Jun 7, 2012·Eye & Contact Lens·Buddy RussellUNKNOWN Infant Aphakia Treatment Study Group
Oct 23, 2013·Eye & Contact Lens·Daniele P Saltarelli, W Walker Motley
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Dec 23, 2015·Middle East African Journal of Ophthalmology·Mahmood JoshaghaniMehdi Yaseri
Oct 22, 2013·Seminars in Ophthalmology·Behzad MansouriDean M Cestari
Oct 25, 2016·IEEE Transactions on Medical Imaging·R V IyerS Mathews
Mar 30, 2021·Contact Lens & Anterior Eye : the Journal of the British Contact Lens Association·Deborah S JacobsFiona Stapleton

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