Custom Soft Corner: Soft Contact Lens Management for Aphakia - Scorecard - MDSpire

Custom Soft Corner: Soft Contact Lens Management for Aphakia

By
TIFFANY ANDRZEJEWSKI, OD
March 1, 2026
5 min

Contact Lens Spectrum

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Clinical Scorecard: Custom Soft Corner: Soft Contact Lens Management for Aphakia

At a Glance

Category	Detail
Condition	Aphakia
Key Mechanisms	High hyperopic correction when IOL cannot be implanted or is contraindicated.
Target Population	Pediatric and adult patients with aphakia.
Care Setting	Optometry and ophthalmology clinics.

Key Highlights

Specialty soft contact lenses (SCLs) provide comfort and ease of handling for aphakic patients.
High success rates in adult patients under age 70 using daily-wear SCLs.
Custom fitting is crucial, especially for infants with unique corneal characteristics.
Regular monitoring is essential to prevent complications and ensure proper lens fit.
Caregiver education is vital for pediatric patients to recognize potential issues.

Guideline-Based Recommendations

Diagnosis

Assess visual needs and refractive error in aphakic patients.

Management

Utilize specialty soft contact lenses for aphakia management.
Consider silicone elastomer lenses for high oxygen permeability.

Monitoring & Follow-up

Regular follow-ups to check for lens complications and adjust fit as needed.

Risks

Increased risk of infection and complications with extended-wear SCLs, especially in older adults.

Patient & Prescribing Data

Pediatric and adult aphakic patients.

Daily wear is preferred; ensure patients have spare lenses to prevent amblyopia.

Clinical Best Practices

Customize base curve and diameter for optimal fit.
Educate caregivers on lens care and signs of complications.
Monitor pediatric patients more frequently due to rapid eye growth.

Related Resources & Content

Original Source(s)

Contact Lens Spectrum

Custom Soft Corner: Soft Contact Lens Management for Aphakia

by TIFFANY ANDRZEJEWSKI, OD
March 1, 2026

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