Visual acuity and binocularity in children with unilateral acquired aphakia.

Seventeen cases of unilateral aphakia secondary to acquired cataracts and dislocated lenses were presented. Final visual acuity was 20/70 or better in 12 of our 17 patients. Binocular single vision has been maintained in four cases. Ten patients had a posttherapy tropia. Early surgery and treatment particularly in the young child is stressed in order to maintain normal binocular single vision. Where once traumatized eyes were felt to be "sick" eyes and better left alone, current surgical and therapeutic methods make restoration of vision and binocularity a reasonable goal.