Abstract
A healthy neonate born with unilateral cataract was operated upon on Life Day 4. Visual correction and testing were initiated promptly. Resolution showed continuous improvement in the normal eye, with no improvement noted in the operated eye until adequate visual correction was provided. Following correction there was prompt marked improvement of visual resolution.
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Atkinson, J., Braddick, O. & Braddick, F. Acuity and contrast sensitivity of infant vision. Nature 247: 403–404 (1974).
Banks, M. & Salapatek, P. Contrast sensitivity function of the infant visual system. Vision Res. 16: 867–869 (1976).
Catford, G. & Oliver, A. Development of visual acuity. Arch. Dis. in Child 48: 47–50 (1973).
Chow, K. & Stewart, D. Reversal of structure and functional effect of long-term deprivation in cats. Exp. Neurol. 34: 409–433 (1972).
Dayton, G., Jones, M., Aiu, P., Rawson, R., Stelle, B. & Rose, M. Developmental study of coordinated eye movements in the human infant. I. Visual acuity in the newborn human: a study based on induced optokinetic nystagmus recorded by electro-oculography. Arch. Ophthal. 71: 865–870 (1964).
Dews, P. & Wiesel, T. Consequences of monocular deprivation on visual behavior in kittens. J. Physiol. (Lond.) 206: 437–455 (1970).
Enoch, J. A spectacle-contact lens combination used as a reverse Gallilean telescope in unilateral aphakia. Am. J. Optom. 45: 231–240 (1968).
Enoch, J. An attempt to restore binocular stereoscopic vision in selected unilateral aphakic patients. In: B. Becker & R. Burde (eds.), Current Concepts in Ophthalmology. Vol. 2: 236–247. Mosby, St Louis (1969).
Enoch, J. The fitting of hydrophyllic (soft) contact lenses to infants and young children: I. Mensuration data on aphakic eyes of children born with congenital caratacts. Contact Lens Med. Bull. 5 (3–4): 36–40 (1972).
Enoch, J. The fitting of hydrophyllic (soft) contact lenses to infants and young children. II. Fitting techniques and initial results on aphakic children. Contact Lens Med. Bull. 5 (3–4); 41–47 (1972).
Enoch, J. A rapid accurate technique for retinoscopy of the aphakic infant or child in the operating room. Am. J. Ophthal. 78: 335–336 (1974).
Enoch, J. Use of inverted telescopic corrections incorporating soft contact lenses in the (partial) correction of aniseikonia in cases of unilateral aphakia. Adv. Ophthal. 32: 54–66 (1976).
Fantz, R., Ordy, K. & Udelf, M. Maturation of pattern vision in infants during the first six months. J. Comp. Physiol Psych. 55: 907–917 (1962).
Gorman, J., Cogan, D. & Gellis, S. An apparatus for grading the visual acuity of infants on the basis of opticokinetic nystagmus. Pediatrics 19: 1088–1092 (1957).
Gullstrand, A. In: Helmholtz's Treatise on Physiological Optics (J. Southall, ed. & transl.). 3rd ed. Vol. 1: 351. New York, Dover (1962).
Hubel, D. & Wiesel, T. The period of susceptibility to the physiological effects of unilateral eye closure in kittens. J. Physiol. (Lond.) 206: 419–436 (1970).
Kestenbaum, A. Zur Entwicklung der Augenbewegungen und des optokinetischen Nystagmus, v. Graefe's Arch. f. Ophthal. 124: 113–127 (1930).
Linksz, A. Visual acuity in the newborn with notes on some objective methods to determine visual acuity. Documenta Ophthal. 34: 259–270 (1973).
Marg, E., Freeman, D., Peltzman, P. & Goldstein, P. Visual acuity development in human infants: evoked potential measurement. Inv. Ophthal. 15: 150–153 (1976).
National Advisory Eye Council, Support for Vision Research. US Dept. HEW Publication No. (NIH) 76-1098, Public Health Service, NIH (1976).
Ogle, K., Burian, H. & Bannon, R. On the correction of unilateral aphakia with contact lenses. Arch. Ophthal. 59: 639–652 (1958).
Regal, D., Boothe, R., Teller, D. & Sackett, G. Visual acuity and visual responsiveness in dark-reared monkeys (Macaca nemestrina). Vision Res. 16: 523–530 (1976).
Ruben, M. Role of contact lenses in aphakia in infants and young children. Proc. Roy. Soc. Med. 62: 696–699 (1969).
Sherman, S. Visual field defects in monocularly and binocularly deprived cats. Brain Res. 49: 25–45 (1973).
Sokol, S. & Dobson, V. Pattern reversal visually evoked potentials in infants. Inv. Ophthal. 15: 58–62 (1976).
Sorsby, A. The nature of spherical refractive errors. In: J. Enoch (ed.), Refractive Anomalies of the Eye. (NINDB Monograph No. 5). Bethesda, US Dept. HEW, Public Health Service Publication No. 1687: 17–29 (1971).
Teller, D., Morse, R., Borton, R. & Regal, D. Visual acuity for vertical and diagonal gratings in human infants. Vision Res. 14: 1433–1439 (1974).
Von Noorden, G. Experimental amblyopia in monkeys. Further behavioral observations and clinical correlations. Inv. Ophthal. 12: 721–726 (1973).
Von Noorden, G. Histological studies of the visual system in monkeys with experimental amblyopia. Inv. Ophthal. 12: 727–738 (1973).
Von Noorden, G., Dowling, J. & Ferguson, D. Experimental amblyopia in monkeys. I. Behavioral studies of stimulus deprivation amblyopia. Arch. Ophthal. 84: 206–214 (1970).
Von Noorden, G. & Maumenee, A. Clinical observations on stimulus deprivation amblyopia (amblyopia ex anopsia). Am. J. Ophthal. 65: 220–224 (1968).
Wiesel, T. & Hubel, D. Comparison of the effects of unilateral and bilateral eye closure on cortical unit responses in kittens. J. Neurophysiol. 28: 1029–1040 (1965).
Wiesel, T. & Hubel. D. Extent of recovery from the effects of visual deprivation in kittens. J. Neurophysiol. 28: 1060–1072 (1965).
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Department of Ophthalmology, University of Florida College of Medicine, Gainesville, Florida 32610, USA.
This research has been supported in part by Research Grant No. EY 01418 (to JME), National Eye Institue, NIH, Bethesda, Md.
This research has been supported in part by a research grant from the National Eye Institute (EY-01418, to JME) National Institutes of Health, Bethesda, MD. The authors also wish to express their appreciation to Soft Lenses, Inc., of San Diego and the Bausch and Lomb Corp., Rochester, NY for their cooperation in supplying the necessary lens materials.
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Enoch, J.M., Rabinowicz, I.M. Early surgery and visual correction of an infant born with unilateral eye lens opacity. Doc Ophthalmol 41, 371–382 (1976). https://doi.org/10.1007/BF00146767
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DOI: https://doi.org/10.1007/BF00146767