“…3 In recent years, there has been mounting evidence that lensectomy, whether through the limbal or pars plana approach, combined with anterior vitrectomy is safe in the longer term. [4][5][6][7][8][9][10][11][12][13][14][15][16][17][18] Bilaterally aphakic children can be managed with spectacles or contact lenses and unilaterally aphakic children can be managed with contact lenses with excellent visual outcomes; however, aphakic spectacles produce troublesome optical aberrations and a limited visual field, may be considered disfiguring, and may cause the patient to have difficulty integrating into the social environment. 10 Contact lenses, on the other hand, have been associated with intolerance, noncompliance, need for frequent replacement, and relatively high costs.…”