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[Secondary intraocular lens implantation in aphakic eyes]
A Stankiewicz1, A Bakunowicz-Lazarczyk, Z Mariak
1Kliniki Okulistycznej AM w Białymstoku.
Purpose:
Presentation of the results of secondary IOLs implantations in 35 aphakic patients operated on from January 1989 to June 1994 (in the years 1989-1994, first half).
Material And Methods:
Of 20 men and 15 women, in 17 patients cataract was removed by phacotomy, in 18-by intracapsular cryoextraction. Secondary anterior IOL implantation was performed 1 month--20 years after cataract surgery. The power of the lenses ranged from +17.0D to +23.5D and was calculated basing on the measurement of eyeball length and corneal refraction.
Results:
Early complications found in 9 patients after surgery included: shallow anterior chamber in 2, anterior chamber haemorrhage in 1, iris "bombee" in 1, iritis in 1, united suteres in 2, corneal erosion in 1 and choroidal detachment in 1 eye. These symptoms declined one week after conservative treatment. In 2 patients, additional corneal suteres were inserted. One month after surgery, in all patients, visual acuity was 5/10-5/5. In 5 eyes, slight decentralisation of the pupil was observed.