Anterior chamber lens subluxation through a basal peripheral iridectomy

The superior supporting footplate of the Tennant-Anchor anterior chamber lens can subluxate through a basal peripheral iridectomy. In each of the three cases reported herein, the implant migrated superiorly along the ciliary body pars plana. In two cases, the lens implant was stabilized by adhesions of the superior supporting footplate to the ciliary body. In the third case, lens movement (pseudophakodonesis) caused the inferior lens footplate to rub against the corneal endothelium, producing secondary iridocyclitis and cystoid macular edema which required intraocular lens removal and exchange. This complication may be prevented by performing a mid-peripheral iridectomy or iridotomy rather than a large basal iridectomy.