Visual acuities of monocular IOL and non-IOL aphakic children

The vision of 341 monocular aphakic children was corrected with contact lens, intraocular lens, or spectacles and the visual results of each series were compared. The acquired and infantile contact lens and IOL cataract patients achieved similar levels of aphakic visual acuities. Seventy percent of the IOL and 64% of the contact lens-acquired cataract patients achieved 20/20 to 20/40, while 22% of the IOL and 16% of the contact lens infantile cataract patients also reached this level. Twenty patients wore monocular spectacles and none achieved adequate levels of visual rehabilitation. Forty-six patients were unable to wear or did not receive aphakic correction because of patient or parental refusal or ocular pathologic contraindications.