title: Reasons for secondary surgical intervention after phacoemulsification with posterior chamber lens implantation.
abstract: OBJECTIVE
  To determine the indications for secondary surgical intervention in patients who had primary phacoemulsification with posterior chamber intraocular lens (IOL) implantation and to assess the final visual outcomes.
  
  
  METHODS
  Department of Ophthalmology, Scarborough Hospital, Scarborough, United Kingdom.
  
  
  METHODS
  The case notes of 17 patients (18 eyes) were reviewed to determine the reasons for secondary surgical intervention. From September 1997 to December 2000 (40 months), 4388 primary phacoemulsification procedures with posterior chamber IOL implantation were performed.
  
  
  RESULTS
  Fifteen eyes required secondary surgical interventions for lens-related factors and 3, for surgeon-related factors. All patients had satisfactory visual outcomes after the secondary intervention.
  
  
  CONCLUSIONS
  The indications for secondary intervention included unsatisfactory refractive outcome, posterior settlement of the IOL, unwanted imagery, inappropriate IOL power, and IOL dislocation. Secondary intervention can be performed safely and provides satisfactory final visual outcomes.
authors.affiliation: Department of Ophthalmology, Scarborough Hospital, Scarborough, United Kingdom.
authors.forename: Soman
authors.initials: S
authors.lastname: Raman
authors.forename: Richard
authors.initials: R
authors.lastname: Redmond
mesh_terms: D000328:Adult; D000368:Aged; D020878:Device Removal; D005260:Female; D005548:Foreign-Body Migration / Q000209:etiology / Q000601:surgery; D006801:Humans; D019654:Lens Implantation, Intraocular / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D018918:Phacoemulsification / Q000009:adverse effects*; D011183:Postoperative Complications / Q000601:surgery; D012086:Reoperation; D014786:Vision Disorders / Q000209:etiology / Q000601:surgery; D014792:Visual Acuity