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August 1989

Initiation of Amblyopia Treatment in Monocular Congenital Cataracts-Reply

Author Affiliations

Edmonton, Canada

Arch Ophthalmol. 1989;107(8):1114. doi:10.1001/archopht.1989.01070020179006

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In Reply.  —We thank Drs Vila-Coro and Mazow for their comments regarding the optical rehabilitation of infants after cataract surgery. Their technique of fitting a contact lens at the time of surgery is advantageous in reducing the duration of visual deprivation experienced by these children. We have used the same approach on some of our patients over the past few years, although most patients are fitted with a contact lens within 7 to 10 days after surgery.We have found that the evaluation of the fit and power of the contact lens is not always easy at surgery. The globe may be distorted from low intraocular pressure and tight wound closure, and conjunctival edema may affect the fit of the lens. Air in the anterior chamber or corneal edema will disrupt the retinoscopic reflex.We appreciate Drs Vila-Coro and Mazow sharing their extensive experience. It would be interesting to know

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