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There has always been a difference of opinion concerning the handling of uncomplicated monocular cataracts whether they be congenital, traumatic, or senile. No one questions the necessity for removal of such cataracts when they are swollen and likely to produce glaucoma or when secondary iritis develops, or in those rare instances when a patient's livelihood requires binocularity or the removal of a cosmetic blemish. On the other hand, removal of monocular congenital cataracts is rarely indicated, since such eyes frequently harbor other malformations and are usually incapable of generating useful vision.
One does not have to be in practice very long to realize that removal of a monocular cataract in most individuals is not a procedure to evoke unqualified gratitude from the patient. In spite of painstaking preoperative discussion, pointing out the difficulties of binocular vision, and, if such is desired, the need for contact and possibly aniseikonic lenses, the
D. AG. Monocular Aphakia and Intraocular Lenses. Arch Ophthalmol. 1964;72(2):152–153. doi:10.1001/archopht.1964.00970020152003
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