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Visual Outcomes in Traumatic Aphakia Corrected with Contact Lens versus Intraocular Lens Implantation - A
Sara Nowroozizadeh1, Dania A Rahal2, Carson Ercanbrack2
1Harvey and Bernice Jones Eye Institute, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
Clinical Ophthalmology (Auckland, N.Z.)
|July 27, 2026
Summary
Contact lens correction and intraocular lens implantation offer comparable visual outcomes for trauma-induced aphakia. Both methods significantly improve vision, with no statistically significant difference in visual acuity between the two approaches.
Area of Science:
- Ophthalmology
- Trauma Surgery
Background:
- Trauma-induced aphakia presents a challenge in restoring visual function.
- Management options include contact lens (CL) correction and intraocular lens (IOL) implantation.
Purpose of the Study:
- To compare the visual outcomes of CL correction versus IOL implantation in patients with trauma-induced aphakia.
Main Methods:
- A 7-year retrospective chart review of 42 eyes with trauma-induced aphakia.
- Patients were divided into IOL implantation (n=12) and CL correction (n=30) groups.
- Visual acuity (logMAR scale) and follow-up duration were assessed; Wilcoxon ranked sum test was used for comparison.
Main Results:
- Both IOL and CL groups showed significant visual acuity improvement.
- Post-treatment, 33% of the IOL group and 37% of the CL group achieved visual acuity better than 20/40.
- No statistically significant difference in visual outcomes was observed between the IOL and CL groups (p = 0.5861).
Conclusions:
- Contact lens correction is a viable and comparable alternative to intraocular lens implantation for managing trauma-induced aphakia.
- Both interventions effectively improve visual acuity in this patient population.
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