Aphakic Glasses

Abstract

Aphakic infants require a complex visual rehabilitation plan. The treating team must consider several factors to optimize outcomes following cataract surgery, the first of which is the patient’s age. Infants undergo tremendous visual maturation over the months and years following cataract surgery, with any disruption having the potential to cause long-lasting visual consequences. Second, the growth of the eye produces change in the refractive error. This change requires frequent evaluation to ensure adequate optical correction is always in place. Finally, the options for optical correction of infants with aphakia are limited due to the high refractive power that is required. Spectacles for these patients can be an overlooked form of treatment due to their cosmetic appearance; but in many patients, glasses are an ideal form of correction due to their simplicity of use and a high rate of insurance coverage. Choosing which lenses and frames work well for the aphakic patient requires special consideration and skill. It is important to recognize how proper optical correction for this patient population is the foundation for the future success of their visual rehabilitation plan.