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Updated: Aug 6, 2026

Development of an In Vitro Ocular Platform to Test Contact Lenses
Published on: April 6, 2016
The fitting of contact lenses in aphakic infants
Insights
This study shows that specially designed contact lenses can successfully treat amblyopia in infants with unilateral congenital cataracts. Eight of fifteen infants achieved normal visual acuity, demonstrating effective treatment outcomes.
Area of Science:
- Ophthalmology
- Pediatric eye care
Background:
- Infants with unilateral congenital cataracts present unique treatment challenges.
- Traditional treatment approaches for pediatric cataracts are often complex.
Purpose of the Study:
- To describe the experience of fitting specialized contact lenses in infants post-cataract removal.
- To evaluate the efficacy of contact lens treatment for amblyopia in this population.
Main Methods:
- Fitting custom-designed contact lenses on 15 infants with unilateral congenital cataracts.
- Implementing amblyopia treatment for an average of less than 2 years.
- Measuring visual acuity using preferential looking.
Main Results:
- Eight out of fifteen patients achieved statistically normal visual acuity for their age.
- Visual acuity became equal between the affected and unaffected eyes in successful cases.
- All participants remain under active amblyopia treatment.
Conclusions:
- Infants with congenital unilateral cataracts can be successfully treated with specialized contact lenses.
- This approach offers a viable solution for managing pediatric visual impairments.
- Further research can optimize contact lens designs for infant eyes.
Abstract:
Infants born with a unilateral congenital cataract have always been considered a particularly difficult group of patients to treat. Our experience in fitting contact lenses to such children, after cataract removal, is described. Contact lenses must be specially designed, to account for the significant differences in size and shape of the infant eye from that of an adult eye. A group of 15 children born with a unilateral cataract, were fit with contact lenses, and have been treated for amblyopia for an average of less than 2 years. Eight patients have obtained acuities measured by preferential looking that are statistically normal for age and equal between eyes. All children are presently still under active amblyopia treatment. This preliminary study shows that infants with a congenital unilateral cataract can be successfully treated.
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