[Iridocapsular lenses: limbus versus pars plana approach in secondary cataract surgery (author's transl)]

We operated on 55 eyes with secondary-cataract following implantation of a Binkhorst's irido-capsular lens. The procedure was through the limbus in 27 cases and via pars plana in 28 cases. For the limbus approach, we made a discission ("membranotomy") in all cases. By pars plana approach, we made a discission in 6 cases and an excision ("membranectomy") by means of phacophage (lensectomy instrument) in 22 cases. We observed that discission frequently yields deceptive or transitory results, requiring one or more reinterventions, while excision of the pupillary membrane by means of phacophage always results in a broad and definitive opening Pars plana approach has the advantage that it facilitates transformation of membranotomy to membranectomy. None of the 55 cases has presented retinal detachment.