Complications and visual outcome 4 months after implantation of the semiflexible McGhan/3M, style 70, anterior chamber lens. A prospective study.
A report is given of visual outcome and intraocular complications in 64 patients 3-8 months after implantation of anterior chamber lens. 80% had a final visual acuity of 0.50 or better. Visual acuity below 0.50 could in most cases be related to pathological findings in the eye independent of implant. Pupillary block was found in 4 cases (6%), and at re-examination they all had gonioscopic changes. The mechanism of pupillary-block-glaucoma with IOL lens implantation and measures to meet this is discussed. Gross tucking was found to pre-dispose to chronic inflammation. Cystoid macular oedema (3%) and retinal detachment (2%) was found without obvious relationship to gonioscopic changes.
D000368:Aged; D001251:Astigmatism / Q000601:surgery; D004867:Equipment Design; D005500:Follow-Up Studies; D006068:Gonioscopy; D006801:Humans; D007910:Lenses, Intraocular / Q000009:adverse effects*; D008875:Middle Aged; D011183:Postoperative Complications / Q000175:diagnosis; D011446:Prospective Studies; D013997:Time Factors; D014792:Visual Acuity