Globe Axial Length Growth at Age 10.5 Years in the Infant Aphakia Treatment Study.

Abstract Purpose To report the change in globe axial length (AL) from the time of unilateral cataract surgery at age 1-7 months to age 10.5 years for infants enrolled in the Infant Aphakia Treatment Study, and to compare AL growth of operated eyes with that of fellow unoperated eyes. Design Comparative case series. Methods Axial length growth was analyzed relative to treated versus fellow eye, contact lens [CL] vs. intraocular lens [IOL], visual acuity (VA) outcome, and the need for surgery for visual axis opacification. Eyes with glaucoma or glaucoma suspect were excluded from the primary analysis but reported separately. Results Fifty-seven patients have reliable AL data available at both visits. AL was shorter in treated eyes pre-operatively (P Conclusions Eyes with glaucoma or poor VA often grew longer than the fellow eye. Overall, treated eyes grew similarly in the IOL and CL groups and also kept pace with the growth of the fellow eyes.