[Long-term results of secondary implantation of anterior chamber lenses]

Long-term follow-up of secondary implanted anterior chamber intraocular lenses. The long-term results after secondary implantation of an anterior chamber IOL in aphakic patients are illustrated. After a mean period of 7 years after uneventful intracapsular cataract extraction 45 eyes underwent secondary implantation of an anterior chamber IOL of Symflex-Type. The mean follow-up was 40 months. During this time we observed following complications: minimal pupillary deformation (12 cases), worsening of the best corrected visual acuity (8 cases), progredient pupillary deformation (3), retinal detachment (2), pupillary block glaucoma (2), CME (1) and formation of peripheral anterior synechia (1). We discuss the alternative possibility to correct aphkia by secondary implantation of a transscleral fixated posterior chamber IOL or by epikeratophakia.