Secondary intraocular lens implantation

Abstract

PURPOSE: To analyse results of secondary intraocular lens implantation in aphakic eyes. MATERIAL AND METHODS: Sixty five eyes of 63 patients (23 females and 40 males) had secondary intraocular lens (IOL) implantation, from December 1996 to April 1997. Follow-up was from 1 to 21 months. An anterior chamber lens was used in 51 eyes (78.5%) and a posterior chamber lens in 14 eyes (21.5%); these included 6 cases of trans-scleral fixated lenses. The most common reason for secondary implantation was to relieve the discomfort caused by spectacles or contact lenses. RESULTS: Final postoperative visual acuity of 20/40 or better was achieved in 77% of the eyes. The most common postoperative complications were: pupil deformation, transient corneal edema and hyphema. One eye developed endophthalmitis requiring pars plana vitrectomy and one eye had cystoid macular edema.