Implantation in the posterior chamber without capsular support

The relatively high incidence of complications of anterior chamber implants has encouraged ophthalmologists to implant in the posterior chamber, even in eyes without posterior capsules. A new surgical technique for implantation of posterior chamber lenses in the ciliary sulcus is described. Twenty posterior chamber lenses were implanted in eyes which had had intracapsular cataract extraction, with a follow-up ranging from three to 14 months (mean 7.4 months). Although no serious complications occurred in this small series, the safety and viability of this technique will be established with a longer follow-up.