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A Randomized Clinical Trial Comparing Contact Lens With Intraocular Lens Correction of Monocular Aphakia During Infancy

A Randomized Clinical Trial Comparing Contact Lens With Intraocular Lens Correction of Monocular... CLINICAL TRIALS SECTION EDITOR: ANNE S. LINDBLAD, PhD A Randomized Clinical Trial Comparing Contact Lens With Intraocular Lens Correction of Monocular Aphakia During Infancy Grating Acuity and Adverse Events at Age 1 Year The Infant Aphakia Treatment Study Group* Objective: To compare the visual outcomes and ad- (63% vs 12%; P .001). Most of these additional opera- verse events of contact lens with primary intraocular lens tions were performed to clear lens reproliferation and pu- (IOL) correction of monocular aphakia during infancy. pillary membranes from the visual axis. Methods: In a randomized, multicenter (12 sites) clini- Conclusions: There was no statistically significant differ- cal trial, 114 infants with a unilateral congenital cataract ence in grating visual acuity at age 1 year between the IOL were assigned to undergo cataract surgery between 1 to 6 and contact lens groups; however, additional intraocular op- months of age either with or without primary IOL implan- erations were performed more frequently in the IOL group. tation. Contact lenses were used to correct aphakia in pa- tients who did not receive IOLs. Grating visual acuity was Application to Clinical Practice: Until longer-term tested at 1 year of age by a masked traveling examiner. follow-up http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Ophthalmology American Medical Association

A Randomized Clinical Trial Comparing Contact Lens With Intraocular Lens Correction of Monocular Aphakia During Infancy

JAMA Ophthalmology , Volume 128 (7) – Jul 1, 2010

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Publisher
American Medical Association
Copyright
Copyright 2010 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
2168-6165
eISSN
2168-6173
DOI
10.1001/archophthalmol.2010.101
pmid
20457949
Publisher site
See Article on Publisher Site

Abstract

CLINICAL TRIALS SECTION EDITOR: ANNE S. LINDBLAD, PhD A Randomized Clinical Trial Comparing Contact Lens With Intraocular Lens Correction of Monocular Aphakia During Infancy Grating Acuity and Adverse Events at Age 1 Year The Infant Aphakia Treatment Study Group* Objective: To compare the visual outcomes and ad- (63% vs 12%; P .001). Most of these additional opera- verse events of contact lens with primary intraocular lens tions were performed to clear lens reproliferation and pu- (IOL) correction of monocular aphakia during infancy. pillary membranes from the visual axis. Methods: In a randomized, multicenter (12 sites) clini- Conclusions: There was no statistically significant differ- cal trial, 114 infants with a unilateral congenital cataract ence in grating visual acuity at age 1 year between the IOL were assigned to undergo cataract surgery between 1 to 6 and contact lens groups; however, additional intraocular op- months of age either with or without primary IOL implan- erations were performed more frequently in the IOL group. tation. Contact lenses were used to correct aphakia in pa- tients who did not receive IOLs. Grating visual acuity was Application to Clinical Practice: Until longer-term tested at 1 year of age by a masked traveling examiner. follow-up

Journal

JAMA OphthalmologyAmerican Medical Association

Published: Jul 1, 2010

References