Clinical Results of Secondary Intraocular Lens Implantation.

Lee, Young Chun; Kim, Man Soo; Kim, Jae Ho

Original Article

Journal of the Korean Ophthalmological Society 1989;30(2):195-202.
Published online February 1, 1989.

Clinical Results of Secondary Intraocular Lens Implantation.

Young Chun Lee, Man Soo Kim, Jae Ho Kim

Department of Ophthalmology, Catholic University, Medical College, Kangnam St. Mary's Hospital, Seoul, Korea.

2 차 인공수정체 삽입안의 성적

이영춘(Young Chun Lee),김만수(Man Soo Kim),김재호(Jae Ho Kim)

Abstract

We conducted a retrospective study of sixty four consecutive patients(68 eyes) receiving secondary intraocular lens implants from May 1983 to August 1988. Most common reason why did not implant IOL at primary cataract operation was poor understanding on cataract operation, and most common motivation for secondary IOL implantation was ocular discomfort with spectacles or contact lenses. Final postoperative visual acuity of 0.5 or better was acquired 55 eyes(80.9%). Patients requiring anterior vitrectomy had the least favorable outcome, with a 7.5% incidence of retinal complications. There were 40 eyes(83.3%) in which endothelial cell loss under 30% developed, compared with contralateral phakic eyes. Complications included cystoid macular edema(5.9%), fibrinous membrane on IOL surface(2.9%), retinal detachment with bullous keratopathy(2.9%), neovascular glaucoma(1.5%), dislocation of posterior chamber lens(1.5%) and after cataract(1.5%). These data show secondary IOL implantations to be safe and effective, but greater caution is recommended for patients who will require anterior vitrectomy beca use of the higher rate of retinal complications.

Key Words: secondary IOL implantation;Complications;anterior vitrestomy;functional visual scuity;endothelial cell loss