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Contact lens service in pseudophakic and aphakic children
Author(s) -
ROSENSVÄRD A.
Publication year - 2017
Publication title -
acta ophthalmologica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.534
H-Index - 87
eISSN - 1755-3768
pISSN - 1755-375X
DOI - 10.1111/j.1755-3768.2017.03165
Subject(s) - emmetropia , aphakia , medicine , retinoscopy , optometry , intraocular lens , dioptre , ophthalmology , refractive error , visual acuity
Summary In Sweden cataract surgery is performed at two specialized centers during the first 2 years of life. Intraocular lenses ( IOL ) are implanted if possible. Amblyopia treatment and contact lens ( CL ) service is also provided for at these centers for the youngest. At the clinic the patient meets a team; an orthoptist, an optician and a pediatric ophthalmologist. Newborn aphakic children first get a standard CL +37 D. Children with IOL are made hyperopic with the ambition to obtain emmetropia in adult life. CL are prescribed after retinoscopy finding. Infants are corrected to a slight myopia. From 2 years of age the correction is for emmetropia and near addition of 2,5 diopters are prescribed in bifocal glasses. Aphakic children combine CL with bifocals and the children with IOL have only bifocals. The CL are inserted every morning and removed and cleaned every evening. Some children learn to handle their CL themselves (video). There are advantages with CL in comparison to glasses such as visual fields, aberration, flexibility and cosmetic. PECARE ( PE diatric CA taract RE gistry) is a web‐based national register in Sweden for children operated for cataract. Many of the congenital bilateral cases develop vision enough for driving licence.