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Long-term management of unilateral congenital cataract does not end after cataract extraction. The Infant Aphakia Treatment Study followed infants treated either with primary IOL implantation or contact-lens correction and provided detailed information on the practical experience of maintaining aphakic correction. Contact lenses remained a viable way to provide optical rehabilitation through early childhood, although families varied in the type of lens used and adherence to follow-up was not universal. The study reinforces that visual outcomes depend on continued optical correction and amblyopia management rather than on the operation alone. For HCPs, counselling families about lens handling, backup strategies and long-term follow-up is therefore essential. The evidence also illustrates why paediatric cataract care should be viewed as a years-long developmental pathway. AIOC's paediatric track, including cataract management, can use these findings to emphasise family-centred care alongside surgical technique.
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Long-term management of unilateral congenital cataract does not end after cataract extraction. The Infant Aphakia Treatment Study followed infants treated either with primary IOL implantation or contact-lens correction and provided detailed information on the practical experience of maintaining aphakic correction. Contact lenses remained a viable way to provide optical rehabilitation through early childhood, although families varied in the type of lens used and adherence to follow-up was not universal. The study reinforces that visual outcomes depend on continued optical correction and amblyopia management rather than on the operation alone. For HCPs, counselling families about lens handling, backup strategies and long-term follow-up is therefore essential. The evidence also illustrates why paediatric cataract care should be viewed as a years-long developmental pathway. AIOC's paediatric track, including cataract management, can use these findings to emphasise family-centred care alongside surgical technique.
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