[Secondary intraocular lens implantation].

PURPOSE: To analyse results of secondary intraocular lens implantation in aphakic eyes.

MATERIAL AND

METHODS

Sixty five eyes of 63 patients (23 females and 40 males) had secondary intraocular lens (IOL) implantation, from December 1996 to April 1997. Follow-up was from 1 to 21 months. An anterior chamber lens was used in 51 eyes (78.5%) and a posterior chamber lens in 14 eyes (21.5%); these included 6 cases of trans-scleral fixated lenses. The most common reason for secondary implantation was to relieve the discomfort caused by spectacles or contact lenses.

RESULTS

Final postoperative visual acuity of 20/40 or better was achieved in 77% of the eyes. The most common postoperative complications were: pupil deformation, transient corneal edema and hyphema. One eye developed endophthalmitis requiring pars plana vitrectomy and one eye had cystoid macular edema.