Intraocular complications associated with the Dubroff anterior chamber lens.
We examined a series of 53 consecutive eyes form which Dubroff-style anterior chamber lenses were explanted. The mean time from implantation to explantation was 46.21 months (range six to 99 months). Problems leading to explantation included bullous keratopathy (83%), glaucoma (51%), chronic cystoid macular edema (40%), and iritis (13%). Molteno valves were required in 9% of eyes. Progressive anterior synechias resulted in intraocular lens displacement against the cornea in 19%. The Dubroff lenses caused problems similar to those previously observed with closed-loop anterior chamber lenses but had a higher incidence of severe glaucoma and progressive peripheral anterior synechias.
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D000368:Aged; D000867:Anterior Chamber; D002387:Cataract Extraction; D005128:Eye Diseases / Q000209:etiology*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007431:Intraoperative Complications / Q000209:etiology*; D007910:Lenses, Intraocular / Q000009:adverse effects*; D008297:Male; D011474:Prosthesis Design / Q000009:adverse effects*; D012189:Retrospective Studies; D014792:Visual Acuity