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

Share

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

At a Glance

CategoryDetail
ConditionAphakia
Key MechanismsHigh hyperopic correction when IOL cannot be implanted or is contraindicated.
Target PopulationPediatric and adult patients with aphakia.
Care SettingOptometry 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)

Custom Soft Corner: Soft Contact Lens Management for Aphakia

  • by TIFFANY ANDRZEJEWSKI, OD

  • March 1, 2026

Related Content

CORE Highlights Pediatric Lens Benefits

New Contact Lens Update explores safety, benefits, and real-world outcomes of prescribing contact lenses to children

  • May 15, 2026

  • 2 min
Multifocal Contact Lenses to Support Patients’ Everyday Reality

Lisa Greene, OD, discusses how modern multifocal designs and materials support presbyopic patients throughout their day more seamlessly than ever before.

Is Europe Safe from the Myopia Epidemic?

As global myopia rates soar, three landmark meta-analyses examine the European epidemiological landscape