Foldable posterior chamber intraocular lens implantation in the absence ofcapsular and zonular support

PURPOSE: To implant foldable posterior chamber intraocular lenses in the ab sence of capsular and zonular support. METHODS: Case reports. In two patients, two eyes with aphakia, lack of caps ular or zonular support, and con tact lens intolerance underwent the implan tation of a silicone and an acrylic foldable posterior chamber intraocular lens, respectively. RESULTS: In the two eyes, final visual acuity was 20/25 and 20/50, respecti vely. No intraoperative vitreal, retinal, or choroidal complications were n oted. The post operative recovery was rapid, and there was minimal induced astigmatism. CONCLUSIONS: The implantation of foldable posterior chamber intraocular len ses in aphakic eyes without capsular and zonular support may result in fewe r intraoperative complications. It also allows for faster postoperative rec overy and less postoperative astigmatism. (Am J Ophthalmol 1999;127:213-216 , (C) 1999 by Elsevier Science Inc. All rights reserved.).