Complications in primary anterior chamber pseudophakic eyes after intracapsular cataract extraction.

The principles of the authors' intracapsular cataract extraction technique, with and without pseudophakos, are outlined. The histopathological examination (2--6 years after surgery) confirms the accuracy of the clear corneal section, and the potential, although minor risks, of anterior chamber pseudophakos implantation: a multilaminar fibrous plaque covering intraocular tissue and pseudophakos surfaces often occurred. Ectropion uveae, as observed in a few cases, is a new symptom. Fuchs's keratopathy was exceptional and endothelial cell loss was unremarkable in our series compared to age-matched aphakic eyes. Cystoid edema and retinal detachment did not occur more frequently than in ordinary aphakic eyes. Retinal angiomatous changes with edema may develop and are another, not described symptom.