The fate of eyes with anterior chamber intra-ocular lenses

R. David, R. Yagev, M. Shneck, D. Briscoe, E. Gilad, Y. Yassur

    Research output: Contribution to journalArticlepeer-review

    8 Scopus citations


    A total of 143 anterior chamber (AC) intra-ocular lenses (IOL) of various designs were implanted in a five-year period and followed for 18 to 76 months. The lenses were inserted as a secondary implant after extracapsular cataract extraction (ECCE) complicated by vitrectomy, or after primary intra-capsular extraction. The complications (corneal edema, uveitis/glaucoma, extrusion/imbedding, cystoid macular edema), the final visual acuity and the need for removal of the IOL were analyzed. Only small differences were found between the different lenses but some association was found between complicated surgery (ECCE + vitrectomy) and a higher rate of complication, poorer visual outcome and more frequent need for IOL removal. Cystoid macular edema was encountered only in cases with complicated ECCE. A high percentage of other ocular pathologies was found among the cases, possibly implying that diseased eyes are more prone to surgical complications. An alternative to the AC-IOL in cases with a ruptured posterior capsule is the suture-supported posterior chamber IOL, but the flexible-loop AC-IOL may not yet be obsolete.

    Original languageEnglish
    Pages (from-to)42-46
    Number of pages5
    JournalEuropean Journal of Ophthalmology
    Issue number1
    StatePublished - 1 Jan 1993


    • anterior chamber intra-ocular lenses
    • cataract surgery
    • complications

    ASJC Scopus subject areas

    • Ophthalmology


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