Hard contact lenses in the management of congenital cataracts

This paper describes our experience with 54 eyes which were optically corrected with polymethylmethacrylate hard contact lenses following the removal, in infancy, of a congenital cataract. The lenses were tolerated well, few alterations were required and the majority of patients did not lose more than one lens a year. Our results show that it is possible to obtain visual acuity of 20/25, in unilateral congenital cataract cases.