Factors contributing to corneal decompensation with the Stableflex lens.

A retrospective review was conducted on 38 eyes with Stableflex intraocular lenses in which the lenses were removed or the eye had penetrating keratoplasty. Preoperative axial length measurements were significantly lower in eyes with Stableflex lenses than in control eyes. Based on these data, axial length measurements may be valuable in predicting which eyes will develop corneal problems with small-diameter, closed-loop anterior chamber lenses. Axial lengths may also be beneficial in deciding preoperatively which eyes may need smaller-size anterior chamber lenses of other designs. This is believed to be the first report linking short axial lengths to problems with anterior chamber lenses and recommending the use of axial length measurements for preoperative sizing of anterior chamber lenses.