[Long-term results of implantation of a plate haptic silicone lens in the capsular sac].
BACKGROUND
An important step in developing cataract surgery was the introduction of soft foldable silicone intraocular lenses in the middle 80's. Functional and morphological long-term data are a vital base for definite conclusions on the new material's safety and biocompatibility.


METHODS
Our study presents the long-term results after the implantation of a silicone posterior chamber lens with solid plate haptic design (STAAR AA-4203). All lenses were folded and implanted through a 4-mm small corneoscleral incision. Our study includes 54 eyes in 52 patients with a mean follow-up period of 56.5 +/- 8.9 months.


RESULTS
A visual acuity of 20/40 or better was found in 90.7% of all eyes. All except one of the 33 eyes without any further preexisting ocular pathology at the time of the operation achieved a visual acuity of 20/40 or better. Two thirds of all eyes had a horizontal astigmatism of +1.0 D or less. By slitlamp examination more or less dispersed pigment was seen on the IOL's surface in 46.3%. 83% of the silicone lenses were centrated within 0.5 mm. A YAG-laser capsulotomy was performed in 7 cases (13%). IOL-related intraocular inflammations, cystoid macular edema or an elevated intraocular pressure did not occur in this group.


CONCLUSIONS
Our satisfactory long-term results suggest an excellent biocompatibility of the IOL's design and material.
Zehetmayer
M
M
I. Universitäts-Augenklinik Wien.
Skorpik
C
C
Weghaupt
H
H
Pfleger
T
T
Scholz
U
U
D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007429:Intraocular Pressure / Q000502:physiology; D053685:Laser Therapy; D007903:Lens Capsule, Crystalline / Q000601:surgery*; D007910:Lenses, Intraocular; D008297:Male; D009887:Ophthalmoscopy; D011183:Postoperative Complications / Q000209:etiology* / Q000601:surgery; D011474:Prosthesis Design; D011475:Prosthesis Failure; D012086:Reoperation; D012828:Silicones; D014792:Visual Acuity
D012828:Silicones
Langzeitergebnisse nach Implantation einer Plattenhaptik-Silikonlinse in den Kapselsack.