April 10, 2026 · Journal of cataract and refractive surgery · DOI: 10.1097/j.jcrs.0000000000001957

Incidence of secondary intraocular lens implantation in school-aged children left aphakic to age 4.5 years in the Infant Aphakia Treatment Study

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The authors aimed to determine the incidence of secondary intraocular lens (IOL) implantation in children who were left aphakic after unilateral congenital cataract surgery until age 4.5 years. The study found that 43% of participants received a secondary IOL by age 10.5 years, with significant variability in implantation rates across different clinical sites, suggesting that practice patterns and family preferences play a crucial role in the decision-making process.

Carolyn Drews-Botsch, Deborah VanderVeen, Erick Bothun, Lorri Wilson, M E Wilson, Scott R Lambert, Infant Aphakia Treatment Study Group

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