THE USE OF CONTACT LENSES IN CHILDREN WITH UNILATERAL TRAUMATIC APHAKIA

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Abstract
Children (17) under the age of 10 yr with unilateral traumatic aphakia, who were fitted with contact lenses, were reviewed by an ophthalmologist and an orthoptist, on average 3 yr after the injury. Thirteen children were still using their lenses. Of the 17, none were deeply amblyopic. Only one had orthophoria. Of the 17, 12 had heterotropia, which in most cases was moderate. Six of the children achieved stereopsis in the synoptophore, only 4 by the Titmus stereotest, all of these were 6 yr old or more at the time of the injury, and had lenses fitted within the first 6 mo. of the injury. All the patients, and their parents, were motivated for lens-wearing, and the lens played an important part in the treatment of amblyopia. The sooner the contact lens is supplied, the better are the changes of obtaining binocular function. Beginning with a soft lens a few weeks after achieving clear pupil was recommended.

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