[Unilateral aphakia in juveniles. Results of combined correction (author's transl)].

Eighty-one unilateral aphakies under 45 years of age, 63 of which had suffered an injury, were analyzed by echometry and intraocular optics. With the aid of a computer, the majority of cases were treated for restoration of nearly equal images in both eyes by combined correction, i.e., an appropriate spectacle -- contact lens combination with both distant and near vision in the aphakie eye taken into consideration. Results with unilateral post-traumatic aphakia (63 cases) : 31 patients with uncorrected vision and 42 with a conventional contact lens suffered from symptoms of binocular confusion as opposed to only one patient with combined correction. Of the 63 patients with uncorrected vision or with a conventional contact lens, 44 had strabismus. After optimal treatment with combined correction, with or without subsegment strabismus surgery, 19 out of 23 patients were cured of their strabismus and regained a useful and comfortable, distant and near binocular vision. Thus, for juvenile unilateral aphakics, a rather good prognosis was achieved by combined correction.