{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T21:46:44Z","timestamp":1777585604706,"version":"3.51.4"},"reference-count":39,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2014,6,15]],"date-time":"2014-06-15T00:00:00Z","timestamp":1402790400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Ophthalmologica"],"published-print":{"date-parts":[[2014,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>To compare primary intra\u2010ocular lens (<jats:styled-content style=\"fixed-case\">IOL<\/jats:styled-content>) implantation with use of press\u2010on spherical lens for aphakia correction following unilateral infantile cataract removal.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Sixty infants with a unilateral cataract underwent cataract surgery and were randomly assigned to the <jats:styled-content style=\"fixed-case\">IOL<\/jats:styled-content> (A group) or no <jats:styled-content style=\"fixed-case\">IOL<\/jats:styled-content> group (B group). Residual refractive error was corrected with spectacles in the A group and a press\u2010on spherical lens was used to treat aphakia in the B group. Grating visual acuity (<jats:styled-content style=\"fixed-case\">VA<\/jats:styled-content>) was measured and patients were followed for up to 1\u00a0year.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>LogMAR <jats:styled-content style=\"fixed-case\">VA<\/jats:styled-content> in the operated eyes of both groups was significantly better 1\u00a0year than 1\u00a0month after surgery. Mean log<jats:styled-content style=\"fixed-case\">MAR VA<\/jats:styled-content> difference between 1\u00a0year and 1\u00a0month after surgery was higher in the A group (0.457\u00a0\u00b1\u00a00.110) than in the B group (0.323\u00a0\u00b1\u00a00.114, p\u00a0&lt;\u00a00.0001). Serious inflammation occurred significantly more often in the A group than in the B group (p\u00a0=\u00a00.007). Visual axis opacity occurred more often in the A group than in the B group (pupillary membrane: A: six eyes, 20%, B: none, p\u00a0=\u00a00.024; lens reproliferation: A: 10 eyes, 33%, B: two eyes, 7%, p\u00a0=\u00a00.021). Glaucoma occurred equally in both groups (p\u00a0=\u00a00.612). No other complications occurred.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Primary <jats:styled-content style=\"fixed-case\">IOL<\/jats:styled-content> implantation appears to be a relatively safe, effective optical correction strategy following unilateral cataract extraction in this age group. Patients for whom an <jats:styled-content style=\"fixed-case\">IOL<\/jats:styled-content> is not suitable can be treated with a press\u2010on spherical lens for optical correction.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aos.12465","type":"journal-article","created":{"date-parts":[[2014,6,16]],"date-time":"2014-06-16T21:49:44Z","timestamp":1402955384000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Optical correction of aphakia following unilateral infantile cataract removal"],"prefix":"10.1111","volume":"92","author":[{"given":"Qian","family":"Li","sequence":"first","affiliation":[{"name":"Shandong University of Traditional Chinese Medicine Jinan China"},{"name":"Department of Ophthalmology The Second People's Hospital of Jinan Jinan China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Te","family":"Fu","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology The Second 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