Avetisov S E
Vestn Oftalmol. 2003 Jul-Aug;119(4):24-8.
Variants of an approach towards choosing the means for aphakia correction after an early surgery for congenital cataract, made during the first life year of infant, are presented in the case study. The main requirements, which must be applicable to a correction method under the mentioned conditions, are substantiated. The key advantages of contact lenses are shown, from such stand point, versus other correction methods, including spectacles, intraocular lenses and refractive epikeratoplasty. Unstable anatomic-and-optic ocular parameters in the first-year life infants are the principle obstacle for the primary IOL implantation. The issue on a secondary IOL implantation must be individually decided at the age of 10 to 12.
该病例研究展示了针对婴儿出生后第一年内进行先天性白内障早期手术后无晶状体矫正方法选择的不同方案。阐述了在上述条件下矫正方法必须适用的主要要求。从这个角度说明了与包括眼镜、人工晶状体和屈光性角膜表层镜片术在内的其他矫正方法相比，隐形眼镜的主要优势。一岁以内婴儿眼部解剖和光学参数不稳定是初次植入人工晶状体的主要障碍。二次植入人工晶状体的问题必须在10至12岁时单独决定。
