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High-plus customized silicone hydrogel contact lenses as a form of optical correction in children with aphakia

Poster Details

First Author: K.Svidko UKRAINE

Co Author(s):    O. Gorenkova   L. Kaurkina           

Abstract Details

Purpose:

To evaluate the efficacy of high-plus customized silicone hydrogel contact lenses as a form of optical correction in children with aphakia.

Setting:

Intrernational Medical Centre Oftalmika

Methods:

We analyzed and observed 4 patients (6 eyes) before 1 year of age with unilateral and bilateral aphakia after congenital cataract extraction. They underwent a high-plus customized silicone hydrogel contact lens for both refractive correction and amblyopia treatment. Such correction was prescribed on 6-12 days after surgery. Control follow up was performed 1 time per month. Visual acuity, binocular fixation, anterior segment and retina examination was done. Period of observation is 3 years. The target contact lens power was calculated by using of keratometry, cornea diametr, vertex correction.

Results:

Early prescription of contact lens and professional supervision contributed to visual success and social adaptation of the children. The procedure is effective and safe. At the one-month exam, all parents demonstrated proficiency with manipulating the contact lens. During all time no infectious complication was detected. Visual acuity was better than 20/100 in all cases.

Conclusions:

Using of high-plus customized silicone hydrogel contact lenses provide safety and efficacy in children with aphakia. It helps to correct refractive error, avoid amblyopia and can be an alternative to primary intraocular lens implantation.

Financial Disclosure:

NONE

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