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January 1989

Management of Monocular Congenital Cataracts

Author Affiliations

From the Department of Ophthalmology, University of Iowa Hospitals and Clinics, Iowa City. Dr Drummond is now with The University of Alberta, Edmonton, Canada.

Arch Ophthalmol. 1989;107(1):45-51. doi:10.1001/archopht.1989.01070010047025

• From 1971 through 1985, a diagnosis of monocular congenital cataract was made in 14 consecutive patients. All patients had a visually significant cataract that was documented at birth or within 2 months of age. All patients were followed up long enough to report distance linear recognition acuity. Excellent visual acuity (V/A) correlated with earlier surgery, earlier contact lens fit, and excellent amblyopia therapy compliance. The oldest age for attainment of excellent or good V/A was 17 weeks. Patching therapy was based on the binocular fixation pattern. The patching program consisted of 50% occlusion until the age of 2 months and gradually increased to 100% occlusion after the age of 7 months. Six patients (43%) attained excellent V/A (>20/50), with three patients (21%) attaining good V/A (20/60 to 20/100) and five patients attaining poor V/A (<20/100).

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