1. Stereopsis results at 4.5 years of age in the infant aphakia treatment study
- Author
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E. Eugenie Hartmann, Ann U. Stout, Michael J. Lynn, Kimberly G. Yen, Stacey J. Kruger, Scott R. Lambert, Lindreth DuBois, Michael Lynn, Betsy Bridgman, Marianne Celano, Julia Cleveland, George Cotsonis, Carey Drews-Botsch, Nana Freret, Lu Lu, Seegar Swanson, Thandeka Tutu-Gxashe, Anna K. Carrigan, Clara Edwards, Claudio Busettini, Samuel Hayley, Eleanor Lewis, Alicia Kindred, Joost Felius, Edward G. Buckley, David A. Plager, M. Edward Wilson, Carolyn Drews-Botsch, Donald F. Everett, Margaret Bozic, Ann Holleschau, Buddy Russell, Michael Ward, Carol Bradham, Deborah K. Vanderveen, Theresa A. Mansfield, Kathryn Bisceglia Miller, Stephen P. Christiansen, Erick D. Bothun, Jason Jedlicka, Patricia Winters, Jacob Lang, Elias I. Traboulsi, Susan Crowe, Heather Hasley Cimino, Faruk Orge, Megin Kwiatkowski, Beth Colon, Maria Castanes, Alma Sanchez, Shirley York, Stacy Malone, Margaret Olfson, David T. Wheeler, Paula Rauch, Kimberly Beaudet, Pam Berg, Amy K. Hutchinson, Rachel Robb, Marla J. Shainberg, Sharon F. Freedman, Lois Duncan, B.W. Phillips, John T. Petrowski, David Morrison, Sandy Owings, Ron Biernacki, Christine Franklin, Daniel E. Neely, Michele Whitaker, Donna Bates, Dana Donaldson, Stacey Kruger, Charlotte Tibi, Susan Vega, David R. Weakley, David R. Stager, Clare Dias, Debra L. Sager, Todd Brantley, Robert Hardy, Eileen Birch, Ken Cheng, Richard Hertle, Craig Kollman, Marshalyn Yeargin-Allsopp, Cyd McDowell, and Allen Beck
- Subjects
Male ,medicine.medical_specialty ,Visual acuity ,genetic structures ,Contact Lenses ,medicine.medical_treatment ,Visual Acuity ,Intraocular lens ,Aphakia ,Article ,law.invention ,Cataracts ,Randomized controlled trial ,Lens Implantation, Intraocular ,law ,Ophthalmology ,medicine ,Humans ,Prospective Studies ,Prospective cohort study ,Depth Perception ,business.industry ,medicine.disease ,eye diseases ,Contact lens ,Stereopsis ,Child, Preschool ,Multivariate Analysis ,Female ,sense organs ,medicine.symptom ,business - Abstract
Purpose To determine whether stereopsis of infants treated for monocular cataracts varies with the type of optical correction used. Design Randomized prospective clinical trial. Methods The Infant Aphakia Treatment Study randomized 114 patients with unilateral cataracts at age 1–7 months to either primary intraocular lens (IOL) or contact lens correction. At 4.5 years of age a masked examiner assessed stereopsis on these patients using 3 different tests: (1) Frisby; (2) Randot Preschool; and (3) Titmus Fly. Results Twenty-eight patients (25%) had a positive response to at least 1 of the stereopsis tests. There was no statistically significant difference in stereopsis between the 2 treatment groups: Frisby (contact lens, 6 [11%]; IOL, 7 [13%]; P = .99), Randot (contact lens, 3 [6%]; IOL, 1 [2%]; P = .62), or Titmus (contact lens, 8 [15%]; IOL, 13 [23%]; P = .34). The median age at surgery for patients with stereopsis was younger than for those without stereopsis (1.2 vs 2.4 months; P = .002). The median visual acuity for patients with stereopsis was better than for those without stereopsis (20/40 vs 20/252; P = .0003). Conclusion The type of optical correction did not influence stereopsis outcomes. However, 2 other factors did: age at surgery and visual acuity in the treated eye at age 4.5 years. Early surgery for unilateral congenital cataract and the presence of visual acuity better than or equal to 20/40 appear to be more important than the type of initial optical correction used for the development of stereopsis.
- Published
- 2014