4 Topic Commentaries

GP Insights: <br>GP Lenses and Cataract Surgery</br>

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  Scott R. Lambert, MD

  Ophthalmology

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  Emory University

  When we began this study, the prevailing theory was that IOLs would be the better option for cataract in infants because they correct vision constantly, while contact lenses can be removed or dislodged from the eye. But our data suggest that if the family can manage it, contact lenses are the better option until the child gets older.

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  Timothy W. Olsen, MD

  Ophthalmology

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  Emory University

  The IATS is a landmark study in the refractive management of infants with cataracts. Attempting to estimate the life-long lens implant power and also place an adult lens in a growing infant’s eye is challenging. Families and physicians may now comfortably choose to use contact lenses and wait until children are older when the eye is more mature. The strong evidence, generated by the dedicated investigators in the IATS, helps provide a solid basis for this choice.

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  Erick D. Bothun, MD

  Pediatric Ophthalmology

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  Mayo Clinic Children's Center

  Because we found that young infants experience a higher rate of complications with intraocular lenses, we typically choose contact lenses for infants up to age 6 months.

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  Nandini Venkateswaran, MD

  Cataract and Cornea Surgery

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  Massachusetts Eye and Ear

  The effect of getting one of the more advanced lenses can be similar to laser surgery for vision correction.

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