title: Results of implantation a new type of foldable anterior chamber intraocular lens.
abstract: In aphakic patients, lack of capsular support or insufficient capsular support require an implantation of an anterior chamber intraocular lens or a sclerally fixated lens. Rigid PMMA (polymethylmetacrylate) anterior chamber intraocular lenses or transscleral intraocular lenses require an incision 6.0-7.0 mm wide.
  
  
  OBJECTIVE
  Of this study was to evaluate anatomic and functional results of a new foldable acrylic anterior chamber intraocular lens (Acri.Lyc 15A, Acritec) through a small incision (2.8 mm).
  
  
  METHODS
  The examined group consisted of 30 eyes in 30 patients, at the age from 48 to 87 years (mean 70.90 years, SD +/- 10.57 years), who received a new type foldable acrylic anterior chamber intraocular lens (AC IOL). Examinations were performed before operation and 1-3 days, 1-2 weeks, 3-4 months, 6-8 months after the surgery. During all control examinations visual acuity, intraocular pressure, refraction, corneal endothelium density, pachymetry, keratometry, anterior and posterior segment of the eye were evaluated.
  
  
  RESULTS
  Preoperative mean best corrected visual acuity (BCVA) was 0.32 +/- 0.36 and increased to 0.63 +/- 0.33, 6-8 months after the surgery. We observed that mean corneal endothelial cell density (ECD) gradually decreased in the postoperative period. We observed some minor complications after implantation of the AC IOL (e.g. corneal edema, Descemet folds, raised IOP, hyphaema, distorted pupil shape, "iris bombe", blood in the vitreous, displaced IOL and cystic macular edema), most of them were minor and did not influence the final results.
  
  
  CONCLUSIONS
  The application of foldable anterior chamber intraocular lenses through a small incision is a safe alternative for rigid PMMA anterior chamber intraocular lenses and transscleral intraocular lenses.
authors.affiliation: 1st Chair and Department of Ophthalmology, Medical University of Lodz, Poland. womulecki@poczta.onet.pl
authors.forename: Wojciech
authors.initials: W
authors.lastname: Omulecki
authors.forename: Joanna
authors.initials: J
authors.lastname: Bartela
authors.forename: Aleksandra
authors.initials: A
authors.lastname: Synder
authors.forename: Dorota
authors.initials: D
authors.lastname: Pałenga-Pydyn
authors.forename: Michał
authors.initials: M
authors.lastname: Wilczyński
mesh_terms: D000180:Acrylic Resins; D000368:Aged; D000369:Aged, 80 and over; D000867:Anterior Chamber / Q000601:surgery*; D005260:Female; D006801:Humans; D007429:Intraocular Pressure; D019654:Lens Implantation, Intraocular / Q000379:methods*; D007910:Lenses, Intraocular; D008297:Male; D008875:Middle Aged; D011044:Poland; D011183:Postoperative Complications / Q000517:prevention & control; D012189:Retrospective Studies; D012590:Sclera / Q000601:surgery; D016896:Treatment Outcome; D014792:Visual Acuity
chemical_list: D000180:Acrylic Resins