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Pediatric cataract patients fare better with IOLs than contacts

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SAN FRANCISCO – Pediatric cataract surgery patients with IOLs implanted had superior binocularity but similar visual acuity to patients with contact lenses after cataract surgery, one surgeon said.

Arun Samy, MD, presented a study comparing visual acuity and binocularity outcomes in cataract patients under 48 months of age here at the American Society of Cataract and Refractive Surgery meeting. The mean age of patients at the time of diagnosis was 7.1 months for the contact lens group and 18.3 months for the IOL group. The mean patient age at time of cataract removal was 20.6 months in the IOL group and 8.5 months for the contact lens group.

Dr. Samy said mean follow-up for the IOL group was 77.5 months, and for the contact lens group 68.5 months.

Patients in the IOL group had better binocularity outcomes than the contact lens group. Of the IOL patients, 77% were in the positive binocularity group versus 37% in the contact lens group.