Visual Results in Congenital Cataract with the Use of Contact Lenses

Overview

Journal Graefes Arch Clin Exp Ophthalmol

Specialty Ophthalmology

Date 1991 Jan 1

PMID 2044971

Citations 12

Authors

B Lorenz

J Worle

Affiliations

Soon will be listed here.

Abstract

The results obtained in 29 infants with congenital bilateral cataract and 24 with congenital unilateral cataract who underwent surgery at the Munich University Eye Hospital between April 1985 and August 1988 are reported. Postoperatively, the majority of patients were fitted with extended-wear contact lenses. Detailed functional results are reported on nine children with unilateral aphakia and nine with bilateral aphakia who were fitted with contact lenses within the 1st year of life. Whereas the functional results in bilateral aphakia were very satisfactory in the absence of neuroophthalmogical problems, the limited visual prognosis in unilateral aphakia continues to be a problem despite an intensive occlusion regimen. The functional results are compared with those of other authors who have used similar treatment modalities. These are discussed in terms of alternative correction modalities, i.e. intraocular lens implants and epikeratophakia.

Citing Articles

Long-Term Visual Outcomes of Secondary Intraocular Lens Implantation in Children with Congenital Cataracts.

Rong X, Ji Y, Fang Y, Jiang Y, Lu Y PLoS One. 2015; 10(7):e0134864.

PMID: 26230501 PMC: 4521879. DOI: 10.1371/journal.pone.0134864.

Results of congenital cataract surgery with and without intraocular lens implantation in infants and children.

Borisovsky G, Silberberg G, Wygnanski-Jaffe T, Spierer A Graefes Arch Clin Exp Ophthalmol. 2013; 251(9):2205-11.

PMID: 23563497 DOI: 10.1007/s00417-013-2327-2.

[Treatment of pediatric cataracts. Part 2: IOL implantation, postoperative complications, aphakia management and postoperative development].

Hager T, Schirra F, Seitz B, Kasmann-Kellner B Ophthalmologe. 2013; 110(2):179-88.

PMID: 23392839 DOI: 10.1007/s00347-012-2755-0.

The infant aphakia treatment study contact lens experience: one-year outcomes.

Russell B, Ward M, Lynn M, DuBois L, Lambert S Eye Contact Lens. 2012; 38(4):234-9.

PMID: 22669008 PMC: 3386356. DOI: 10.1097/ICL.0b013e3182562dc0.

Adherence to occlusion therapy in the first six months of follow-up and visual acuity among participants in the Infant Aphakia Treatment Study (IATS).

Drews-Botsch C, Celano M, Kruger S, Hartmann E Invest Ophthalmol Vis Sci. 2012; 53(7):3368-75.

PMID: 22491410 PMC: 3374623. DOI: 10.1167/iovs.11-8457.

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