Secondary lens implantation

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Abstract
A retrospective study is presented of a series of anterior chamber lens implantation in 64 eyes of 54 patients after an earlier cataract extraction. Best corrected final post‐operative visual acuity was better or the same of best corrected pre‐operative vision in 93.8% of eyes. Vision deteriorated significantly in 4 eyes, in 3 eyes cystoid macular oedema was suspected clinically, and in 1 because of open angle glaucoma. Patients requiring anterior vitrectomy had the least favourable outcome with retinal complications in 33%. Secondary lens implantation is safe. However, great caution is recommended for patients who will require anterior vitrectomy on account of the higher rate of retinal complications.

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