Retinal Detachment After Cataract Removal

Seymour H. Perlstein, MD, PhD
JAMA. 1983;250(16):2109. doi:10.1001/jama.1983.03340160013009.
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To the Editor.—  I read in the QUESTIONS AND ANSWERS section (1983; 249:1649) the recommendations for treatment of an 84-year-old woman with a cataract in one eye and poor vision in the other eye after repair of an aphakic retinal detachment. Dr Hartstein advised that use of an extended-wear contact lens be considered.I strongly disagree with the advisability of contact lenses in one-eyed or effectively one-eyed patients. Ocular injuries do occur, and when they happen to the patient's one good eye, the results are catastrophic.1 These patients need as much protection for their good eye as possible, and contact lenses do not provide it. Cataract glasses are unquestionably a challenge to adapt to, but they do provide the necessary safety shield for the eye. Even if a daily or an extended-wear contact lens is fitted and the patient also wears safety glasses, the risk of subsequent corneal infection


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