J Korean Ophthalmol Soc.  1999 Oct;40(10):2773-2784.

Visual Outcome and Complications of Modern Kelman Style Anterior Chamber Intraocular Lens Implantation

• Yi TK
• Kwon JS
• Shin DE

Abstract

We retrospectively evaluated the visual outcome and complications of anterior chamber intraocular lens [AC IOL] implantation surgery in 41 patients [43 eyes] from March 1996 to February 1999. Twelve cases had taken secondary AC IOL implantation, fourteen cases had taken extracapsular cataract extraction [ECCE] with AC IOL implantation, eight cases had taken phacoemulsification with AC IOL implantation, six cases had taken intracapsular cataract extraction [ICCE] with AC IOL implantation and three cases had taken removal of dislocated posterior chamber intraocular lens [PC IOL] with AC IOL implantation. Mean follow-up time was 18.8 +/- 10.8 months. Final available post-operative best-corrected visual acuity [BCVA] of 0.5 or better was achieved in 37 eyes [86.0%]. In secondary AC IOL implantation cases, final available postoperative BCVA was improved than preoperative BCVA and it was statistically significant [p<0.01]. Post-operative complications which result in final available post-operative BCVA less than 0.5 were a case [2.3%] of cystoid macular edema [CME], a case [2.3%] of aggravation of pre-existing diabetic retinopathy. Serious post-operative complications such as retinal detachment and bullous keratopathy were not found.

Keyword

Anterior chamber intraocular lens[AC IOL]; Best-corrected visual acuity[BCVA]; Cystoid macular edema[CME]; Secondary glaucoma

MeSH Terms

Anterior Chamber*
Cataract Extraction
Diabetic Retinopathy
Follow-Up Studies
Humans
Lens Implantation, Intraocular*
Lenses, Intraocular*
Macular Edema
Phacoemulsification
Retinal Detachment
Retrospective Studies
Visual Acuity