Secondary implantation of open-loop, flexible, anterior chamber intraocular lenses.
OBJECTIVE
To assess the results of implantation of secondary, open-loop, flexible, anterior chamber intraocular lenses (IOLs) and compare the findings with those of other published studies.


METHODS
A combined ophthalmology and ear, nose, and throat hospital in Middlesbrough, Cleveland, England.


METHODS
This retrospective study comprised 81 patients who had secondary implantation of a flexible, open-loop, anterior chamber IOL by the one surgeon. The incidence of postoperative complications was ascertained, and best corrected preoperative and postoperative visual acuities were compared.


RESULTS
Two serious complications occurred: one severe loss of vision that is still under investigation and one retinal detachment that was repaired with good residual visual function. Of all 81 patients, 92.5% were within one Snellen line of their preoperative best corrected visual acuity. These results compare favorably with those of other published studies.


CONCLUSIONS
Using an open-loop, flexible, anterior chamber lens for secondary implantation is still an acceptable way to treat aphakia. The poor reputation of these lenses is undeserved.
Ellerton
C R
CR
North Riding Infirmary, Middlesbrough, Cleveland, England.
Rattigan
S M
SM
Chapman
F M
FM
Chitkara
D K
DK
Smerdon
D L
DL
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000867:Anterior Chamber / Q000601:surgery*; D001036:Aphakia, Postcataract / Q000601:surgery*; D002387:Cataract Extraction; D006801:Humans; D015994:Incidence; D007910:Lenses, Intraocular; D008875:Middle Aged; D011183:Postoperative Complications; D012086:Reoperation; D012189:Retrospective Studies; D014792:Visual Acuity