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When the natural lens of the eye is no longer in place due to trauma, complex eye surgery, congenital anomalies or failed cataract surgery, a person is left with a high long-sighted prescription. If this is in just one eye then the individual will also have significant anisometropia. Babies born with cataracts are left aphakic as the eye is not mature enough to support the implant they would normally put in when the lens is removed. They wear contact lenses until they can get the implants (at least age two but the older the better).

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