Long-term evaluation of primary anterior chamber intraocular lens implantation in complicated cataract surgery |
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Authors: | Mervi Bergman Leila Laatikainen |
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Affiliation: | (1) Department of Ophthalmology, University of Oulu, Oulu, Finland;(2) Department of Ophthalmology, University of Helsinki, Helsinki, Finland;(3) Helsinki University Eye Hospital, Haartmaninkatu 4 C, FIN-00290 Helsinki, Finland |
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Abstract: | The long-term visual outcome and complications related to the use of a semiflexible open-loop all-PMMA anterior chamber intraocular lens were evaluated in 40 eyes in which the capsular support was lost. The mean follow up time was 2.3 years (range 6 months to 6.7 years). 55% of the eyes had exfoliation syndrome. 68% (27 of 40 eyes) obtained a visual acuity of 0.5 or better, and only in one of the remaining eyes decreased visual acuity was related to cataract surgery (cystoid macular oedema). No cases of corneal decompensation, uveitis-glaucoma-hyphaema syndrome or retinal detachment have developed, and no IOLs have been explanted. Based on these results, the use of a modern anterior chamber intraocular lens can be suggested at least in old persons, if the capsular support is lost. |
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Keywords: | anterior chamber intraocular lens cataract surgery exfoliation syndrome intraocular lens postoperative complications |
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