[Long-term follow-up following posterior chamber lens implantation with defective or absent posterior chamber].
41 patients were follow up in whom a posterior chamber lens was implanted despite of ruptured posterior capsule. Follow-up period was 9 months to 5 years: 30 lenses were well centered, 7 were slightly decentrated, 2 were strongly decentrated. In 2 cases the lens was luxated into the vitreous. CME was observed in two cases and retinal detachment in 5 cases. In 6 selected patients without posterior capsule, a 2-loop PCL (Simcoe-type) was implanted by controlled suture-fixation into the ciliary sulcus. The inferior haptic was sutured directly in the 6 o'clock position while the superior haptic (12 o'clock) was fixed indirectly by an "iris flap" (made from the "iridectomy") which was turned posteriorly. Follow-up period of 1-2 years: no decentration, vitreous in the anterior chamber in 2 cases.
Hennekes
R
R
Pham Duy
T
T
D005500:Follow-Up Studies; D006801:Humans; D007431:Intraoperative Complications / Q000601:surgery*; D007903:Lens Capsule, Crystalline / Q000293:injuries*; D007908:Lens, Crystalline / Q000293:injuries*; D007910:Lenses, Intraocular; D012421:Rupture; D013536:Suture Techniques; D014821:Vitrectomy
Langzeitbeobachtungen nach HKL-Implantation mit defekter oder fehlender Hinterkapsel.