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The infant aphakia treatment study: design and clinical measures at enrollment.

Publication ,  Journal Article
Infant Aphakia Treatment Study Group; Lambert, SR; Buckley, EG; Drews-Botsch, C; DuBois, L; Hartmann, E; Lynn, MJ; Plager, DA; Wilson, ME
Published in: Arch Ophthalmol
January 2010

OBJECTIVE: To compare the use of contact lenses and intraocular lenses (IOLs) for the optical correction of unilateral aphakia during infancy. METHODS: In a randomized, multicenter (12 sites) clinical trial, 114 infants with unilateral congenital cataracts were assigned to undergo cataract surgery with or without IOL implantation. Children randomized to IOL treatment had their residual refractive error corrected with spectacles. Children randomized to no IOL treatment had their aphakia treated with a contact lens. MAIN OUTCOME MEASURES: Grating acuity at 12 months of age and HOTV visual acuity at 4 1/2 years of age. APPLICATION TO CLINICAL PRACTICE: This study should determine whether either treatment for an infant with a visually significant unilateral congenital cataract results in a better visual outcome. RESULTS: Enrollment began December 23, 2004, and was completed January 16, 2009. The median age at the time of cataract surgery was 1.8 months. Fifty patients were 4 to 6 weeks of age at the time of enrollment; 32, 7 weeks to 3 months of age; and the remaining 32, more than 3 to less than 7 months of age. Fifty-seven children were randomized to each treatment group. Eyes with cataracts had shorter axial lengths and steeper corneas on average than the fellow eyes. CONCLUSIONS: The optimal optical treatment of aphakia in infants is unknown. However, the Infant Aphakia Treatment Study was designed to provide empirical evidence of whether optical treatment with an IOL or a contact lens after unilateral cataract surgery during infancy is associated with a better visual outcome.

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Published In

Arch Ophthalmol

DOI

EISSN

1538-3601

Publication Date

January 2010

Volume

128

Issue

1

Start / End Page

21 / 27

Location

United States

Related Subject Headings

  • Visual Acuity
  • Treatment Outcome
  • Research Design
  • Refractive Errors
  • Pseudophakia
  • Ophthalmology & Optometry
  • Male
  • Lens Implantation, Intraocular
  • Infant
  • Humans
 

Citation

APA
Chicago
ICMJE
MLA
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Infant Aphakia Treatment Study Group, Lambert, S. R., Buckley, E. G., Drews-Botsch, C., DuBois, L., Hartmann, E., … Wilson, M. E. (2010). The infant aphakia treatment study: design and clinical measures at enrollment. Arch Ophthalmol, 128(1), 21–27. https://doi.org/10.1001/archophthalmol.2009.350
Infant Aphakia Treatment Study Group, Scott R. Lambert, Edward G. Buckley, Carolyn Drews-Botsch, Lindreth DuBois, Eugenie Hartmann, Michael J. Lynn, David A. Plager, and M Edward Wilson. “The infant aphakia treatment study: design and clinical measures at enrollment.Arch Ophthalmol 128, no. 1 (January 2010): 21–27. https://doi.org/10.1001/archophthalmol.2009.350.
Infant Aphakia Treatment Study Group, Lambert SR, Buckley EG, Drews-Botsch C, DuBois L, Hartmann E, et al. The infant aphakia treatment study: design and clinical measures at enrollment. Arch Ophthalmol. 2010 Jan;128(1):21–7.
Infant Aphakia Treatment Study Group, et al. “The infant aphakia treatment study: design and clinical measures at enrollment.Arch Ophthalmol, vol. 128, no. 1, Jan. 2010, pp. 21–27. Pubmed, doi:10.1001/archophthalmol.2009.350.
Infant Aphakia Treatment Study Group, Lambert SR, Buckley EG, Drews-Botsch C, DuBois L, Hartmann E, Lynn MJ, Plager DA, Wilson ME. The infant aphakia treatment study: design and clinical measures at enrollment. Arch Ophthalmol. 2010 Jan;128(1):21–27.

Published In

Arch Ophthalmol

DOI

EISSN

1538-3601

Publication Date

January 2010

Volume

128

Issue

1

Start / End Page

21 / 27

Location

United States

Related Subject Headings

  • Visual Acuity
  • Treatment Outcome
  • Research Design
  • Refractive Errors
  • Pseudophakia
  • Ophthalmology & Optometry
  • Male
  • Lens Implantation, Intraocular
  • Infant
  • Humans