Abstract
To the Editor.— I read in the QUESTIONS AND ANSWERS section (1983; 249:1649) the recommendations for treatment of an 84-year-old woman with a cataract in one eye and poor vision in the other eye after repair of an aphakic retinal detachment. Dr Hartstein advised that use of an extended-wear contact lens be considered. I strongly disagree with the advisability of contact lenses in one-eyed or effectively one-eyed patients. Ocular injuries do occur, and when they happen to the patient's one good eye, the results are catastrophic. 1 These patients need as much protection for their good eye as possible, and contact lenses do not provide it. Cataract glasses are unquestionably a challenge to adapt to, but they do provide the necessary safety shield for the eye. Even if a daily or an extended-wear contact lens is fitted and the patient also wears safety glasses, the risk of subsequent corneal infection
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