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June 1981

Visual Acuities in Infants With Congenital Cataracts Operated on Prior to 6 Months of Age

Author Affiliations

From the Departments of Ophthalmology (Drs Rogers and Tsou, Mr Hertle, and Ms Fellows) and Psychology (Dr Tishler), Children's Hospital, Columbus, Ohio.

Arch Ophthalmol. 1981;99(6):999-1003. doi:10.1001/archopht.1981.03930010999002

• Seven infants with complete bilateral cataracts were operated on and fitted with extended-wear silicone contact lenses. The infants were matched to 16 normal control subjects. A modified preferential looking technique was used to assess visual acuity; the Bayley Scale of Infant Development was administered to measure psychological development. Of the seven infants with cataracts, those operated on prior to 8 weeks of age seemed to have normally developing vision. All others showed a substantial visual lag when compared with the control group. Bayley scores for infants operated on early (before 8 weeks) fell within the range of normal variability. The infants operated on later demonstrated a statistically significant lag in development. Also, a pendular nystagmus was noted in those infants with cataracts who were operated on later.