J Korean Ophthalmol Soc.  1995 Mar;36(3):419-426.

Secondary Intraocular Lens Implantation in Aphakia

• Lee SS
• Lee SK
• Song JK

Abstract

The secondary implantation has gradually increased year by year. The authors conducted a study on eighty-two patients(92 eyes) recieving secondary intraocular lens implantation from Jan 1989 to Jan 1993. Sulcus fixation of posterior chamber IOL implantation was done in cases of intact or small posterior capsule rupture(56 cases). Anterior chamber intraocular lens(8 cases) and posterior chamber intraocular lens implantation by scleral fixation(28 cases) was done in eyes with large posterior capsule rupture or no zonular support. Final postoperative visual acuity of 0.5 or better was acquired in 77 eyes(83.7%) and didn't show statistically significant difference in three groups. The postoperative complications induced IOL decent ration(9.8%), uveitis(6.7%), cystoid macular edema(3.3%), vitreous hemorrhage(3.3%), and retinal detachment(3.3%). The causes of postoperative decreased visual acuity were cystoid macular edema(2.2%), fibrous membrane on IOL(2.2%), IOL decentration(1.1%) and IOL dislocation(1.1%), No statistically significant difference was noted in postoperative central corneal endothelial cell loss in three groups.

Keyword

Secondary implantation; Aphakia; Central corneal endothelium

MeSH Terms

Anterior Chamber
Aphakia*
Corneal Endothelial Cell Loss
Lens Implantation, Intraocular*
Lenses, Intraocular*
Membranes
Postoperative Complications
Retinaldehyde
Rupture
Visual Acuity
Retinaldehyde