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February 1954


Author Affiliations

From the Department of Surgery (Ophthalmology) of the New York Hospital-Cornell University Medical Center.

AMA Arch Ophthalmol. 1954;51(2):212-215. doi:10.1001/archopht.1954.00920040214008

THE PROBLEMS of aphakic vision have plagued the cataract patient and the ophthalmologist for a long time. Much has been written on the subject which need not be reviewed here. In 19341 Cowan discussed the problem, and Kirby2 has summarized it well in his text. The subjective sensations were strongly emphasized in a recent dramatic anonymous editorial.3

In addition to the ordinary problems of aphakic vision, those posed by the patient with unilateral aphakia and an essentially normal fellow eye seem so great that many ophthalmologists have opposed operation on monocular cataracts.

The recent successful introduction of intraocular acrylic prostheses* has rekindled interest in this entire question. Optically, the new technique would appear to be the most nearly ideal arrangement, particularly for the patient with monocular aphakia. It is not our province to assess the practical risks of such an operation, nor can we, or any one,

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