Riise R, Kolstad A, Bruun S, Espeland A
Acta Ophthalmol (Copenh). 1977 Jun;55(3):386-94. doi: 10.1111/j.1755-3768.1977.tb06113.x.
Seveteen children under the age of ten years with unilateral traumatic aphakia, who had been fitted with contact lenses, were reviewed by an ophthalmologist and an orthoptist, on average three years after the injury. Thirteen children were still using their lenses. Of the seventeen, none were deeply amblyopic. Only one had orthophoria. Twelve of the seventeen had heterotropia, which in most cases was moderate. Six of the children achieved stereopsis in the synoptophore, only four by the Titmus sterotest, all of these were six years old or more at the time of the injury, and had had lenses fitted within the first six months of the injury. All the patients, as well as their parents, were motivated for lens-wearing, and the lens played an important part in the treatment of amblyopia. It is concluded that the sooner the contact lens is supplied, the better are the changes of obtaining binocular function. Beginning with a soft lens a few weeks after achieving clear pupil is recommended.
17名10岁以下单侧外伤性无晶状体且已佩戴隐形眼镜的儿童，在受伤平均三年后接受了眼科医生和斜视矫正师的检查。13名儿童仍在使用他们的镜片。17名儿童中，没有一个是重度弱视。只有1名有正视眼。17名中有12名有斜视，大多数情况下为中度斜视。6名儿童在同视机上获得了立体视，只有4名通过Titmus立体视测试获得立体视，所有这些儿童在受伤时年龄均在6岁或以上，且在受伤后的头6个月内佩戴了镜片。所有患者及其父母都积极配合佩戴镜片，镜片在弱视治疗中起到了重要作用。得出的结论是，隐形眼镜供应得越早，获得双眼功能的机会就越好。建议在瞳孔清晰几周后开始使用软性镜片。
