SECONDARY IMPLANTATION OF FLEXIBLE OPEN-LOOP ANTERIOR-CHAMBER IOLS

Secondary implantation of flexible, open loop anterior chamber IOLs wa s performed on 20 aphakic eyes between January 1990 and May 1992. In 3 cases anterior vitrectomy was necessary. No other complications were encountered during surgery. The patients were followed up for 4 months postoperatively. Seventeen eyes achieved a corrected visual acuity of 5/5 or better. Fourteen eyes achieved the same visual acuity as preop eratively, and 5 ended with an improved visual outcome. In one case th e visual acuity became worse than preoperatively due to cystoid macula r edema. No other serious postoperative complications occurred. The po stoperative refraction was within 1 diopter of emmetropia in 16 eyes c ompared to the estimated (biometry) 19 eyes. We conclude that implanta tion of flexible open loop anterior chamber IOLs is a safe procedure i n properly selected cases.