Abstract
We prospectively studied for three years the optical correction by contact lenses of 83 aphakic infants (141 eyes) who generally also had systemic and other ocular anomalies: 85% of the patients tolerated the lens wear for the whole study period. Complications occurred in 46 eyes and led to cessation of lens wear in two cases. Ten patients abandoned the lenses for other reasons. Thirty-four eyes needed subsequent intraocular surgery, mostly minor, and nine patients had strabismus surgery. Contact lenses are a versatile, safe, successful, and cost effective treatment for aphakia in infancy against which, before their widespread introduction for primary optical correction of infant aphakia, other methods of aphakic treatment need to be compared.
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Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Arffa R. C., Marvelli T. L., Morgan K. S. Long-term follow-up of refractive and keratometric results of pediatric epikeratophakia. Arch Ophthalmol. 1986 May;104(5):668–670. doi: 10.1001/archopht.1986.01050170058021. [DOI] [PubMed] [Google Scholar]
- Binkhorst C. D., Gobin M. H., Leonard P. A. Post-traumatic artificial lens implants (pseudophakoi) in children. Br J Ophthalmol. 1969 Aug;53(8):518–529. doi: 10.1136/bjo.53.8.518. [DOI] [PMC free article] [PubMed] [Google Scholar]
- CASSADY J. R. CONTACT LENSES FOR AN INFANT, AFTER BILATERAL CATARACT SURGERY. Am J Ophthalmol. 1963 Aug;56:305–307. doi: 10.1016/0002-9394(63)91869-5. [DOI] [PubMed] [Google Scholar]
- Epstein R. J., Fernandes A., Gammon J. A. The correction of aphakia in infants with hydrogel extended-wear contact lenses. Corneal studies. Ophthalmology. 1988 Aug;95(8):1102–1106. doi: 10.1016/s0161-6420(88)33053-8. [DOI] [PubMed] [Google Scholar]
- Fowler S. A., Greiner J. V., Allansmith M. R. Attachment of bacteria to soft contact lenses. Arch Ophthalmol. 1979 Apr;97(4):659–660. doi: 10.1001/archopht.1979.01020010315005. [DOI] [PubMed] [Google Scholar]
- Fowler S. A., Greiner J. V., Allansmith M. R. Soft contact lenses from patients with giant papillary conjunctivitis. Am J Ophthalmol. 1979 Dec;88(6):1056–1061. doi: 10.1016/0002-9394(79)90416-1. [DOI] [PubMed] [Google Scholar]
- Hiles D. A. Intraocular lens implantation in children with monocular cataracts. 1974-1983. Ophthalmology. 1984 Oct;91(10):1231–1237. doi: 10.1016/s0161-6420(84)34162-8. [DOI] [PubMed] [Google Scholar]
- Houde W. L., Rubin M. L. Extended-wear lenses. An update. Surv Ophthalmol. 1981 Sep-Oct;26(2):103–105. doi: 10.1016/0039-6257(81)90148-x. [DOI] [PubMed] [Google Scholar]
- Hoyt C. S. The optical correction of pediatric aphakia. Arch Ophthalmol. 1986 May;104(5):651–652. doi: 10.1001/archopht.1986.01050170041017. [DOI] [PubMed] [Google Scholar]
- Kelley C. G., Keates R. H., Lembach R. G. Epikeratophakia for pediatric aphakia. Arch Ophthalmol. 1986 May;104(5):680–682. doi: 10.1001/archopht.1986.01050170070023. [DOI] [PubMed] [Google Scholar]
- Korb D. R., Greiner J. V., Finnemore V. M., Allansmith M. R. Biomicroscopy of papillae associated with wearing of soft contact lenses. Br J Ophthalmol. 1983 Nov;67(11):733–736. doi: 10.1136/bjo.67.11.733. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Levin A. V., Edmonds S. A., Nelson L. B., Calhoun J. H., Harley R. D. Extended-wear contact lenses for the treatment of pediatric aphakia. Ophthalmology. 1988 Aug;95(8):1107–1113. doi: 10.1016/s0161-6420(88)33052-6. [DOI] [PubMed] [Google Scholar]
- Levinson A., Ticho U. The use of contact lenses in children and infants. Am J Optom Arch Am Acad Optom. 1972 Jan;49(1):59–64. doi: 10.1097/00006324-197201000-00009. [DOI] [PubMed] [Google Scholar]
- Mackie I. A., Wright P. Giant papillary conjunctivitis (secondary vernal) in association with contact lens wear. Trans Ophthalmol Soc U K. 1978 Apr;98(1):3–9. [PubMed] [Google Scholar]
- Mondino B. J., Salamon S. M., Zaidman G. W. Allergic and toxic reactions of soft contact lens wearers. Surv Ophthalmol. 1982 May-Jun;26(6):337–344. doi: 10.1016/0039-6257(82)90126-6. [DOI] [PubMed] [Google Scholar]
- Nelson L. B., Cutler S. I., Calhoun J. H., Wilson T. W., Harley R. D. Silsoft extended wear contact lenses in pediatric aphakia. Ophthalmology. 1985 Nov;92(11):1529–1531. doi: 10.1016/s0161-6420(85)33825-3. [DOI] [PubMed] [Google Scholar]
- Stark W. J., Kracher G. P., Cowan C. L., Taylor H. R., Hirst L. W., Oyakawa R. T., Maumenee A. E. Extended-wear contact lenses and intraocular lenses for aphakic correction. Am J Ophthalmol. 1979 Sep;88(3 Pt 2):535–542. doi: 10.1016/0002-9394(79)90511-7. [DOI] [PubMed] [Google Scholar]
- Wright P., Mackie I. Preservative-related problems in soft contact lens wearers. Trans Ophthalmol Soc U K. 1982 Apr;102(Pt 1):3–6. [PubMed] [Google Scholar]