TY - JOUR T1 - Optotype acuity and re-operation rate after unilateral cataract surgery during the first 6 months of life with or without IOL implantation JF - British Journal of Ophthalmology JO - Br J Ophthalmol SP - 1387 LP - 1390 DO - 10.1136/bjo.2004.045609 VL - 88 IS - 11 AU - S R Lambert AU - M Lynn AU - C Drews-Botsch AU - L DuBois AU - D A Plager AU - N B Medow AU - M E Wilson AU - E G Buckley Y1 - 2004/11/01 UR - http://bjo.bmj.com/content/88/11/1387.abstract N2 - Aims: To compare optotype acuities and re-operation rates in children corrected with a contact lens (CL) compared with an intraocular lens (IOL) following unilateral cataract extraction during infancy in a non-randomised, retrospective case series. Methods: 25 infants with a unilateral congenital cataract underwent cataract surgery with (IOL group, n = 12) or without (CL group, n = 13) IOL implantation when <7 months of age. Optotype acuities were assessed in 19 of these children at a mean age of 4.3 years (range 3.3–5.5 years). The number of re-operations were assessed in 21 children. Results: The visual acuity results were similar in the two treatment groups (p = 0.99); however, two of the four (50%) children in the IOL group compared with two of the seven (28%) children in the CL group undergoing surgery during the first 6 weeks of life had 20/40 or better visual acuity. The children in the IOL group had more re-operations than the children in the CL group (mean 1.1 v 0.36). Most of the re-operations in the IOL group were membranectomies performed during the first year of life (median 8.0 months) whereas all of the re-operations in the CL group were the implantation of a secondary IOL later in childhood (mean 2.2 years). Conclusion: Optotype acuities were similar for the children corrected with a CL compared with IOL, while the children in the IOL group underwent more re-operations . ER -