Avetisov S E, Il'iakova L A, Varshavskiĭ V L
Vestn Oftalmol. 1989 Sep-Oct;105(5):27-32.
Soft contact lenses (SCL) were used for the correction of aphakia in young children. Eleven surgeries were carried out in 7 children with congenital cataracts (aspiration in 2 cases and transciliary lensectomy in the rest). SCLs were made individually of gel with 70% water content by mechanical treatment, their parameters differing from the commercial 'aphakic' lenses. These SCL parameters were chosen with consideration for the data of measurements of the corneal curvature and diameter, carried out during surgery and then specified by trials. To determine the optic force of SCL, a special formula and skiascopy were used. Only in one case the parents refused from SCL application, being satisfied with the cosmetic effect of surgery; in the rest cases SCLs were tolerated satisfactorily as evidenced by a follow-up of 3 to 8 months. SCL wearing improved the visual function, that manifested in a more stable fixation, reduction and stabilization of strabismus angle, development of an ability to recognise closely situated small articles. These results are in fact tentative; further studies will be aimed at a more accurate assessment of the visual function and of the corneal status (including the status of the endothelium).
软性隐形眼镜（SCL）被用于矫正幼儿无晶状体眼。对7例先天性白内障患儿实施了11次手术（2例采用抽吸术，其余采用经睫状体晶状体切除术）。SCL通过机械处理由含水量70%的凝胶单独制成，其参数与市售的“无晶状体”镜片不同。这些SCL参数是在考虑手术期间进行的角膜曲率和直径测量数据的基础上选择的，然后通过试验进行确定。为了确定SCL的屈光度，使用了一个特殊公式和检影法。只有1例患儿的家长因对手术的美容效果满意而拒绝使用SCL；在其余病例中，通过3至8个月的随访证明，SCL的耐受性良好。佩戴SCL改善了视觉功能，表现为注视更稳定、斜视角度减小并稳定、能够识别近处小物品的能力得到发展。这些结果实际上是初步的；进一步的研究将旨在更准确地评估视觉功能和角膜状况（包括内皮细胞状况）。
