Using an open-loop, flexible, anterior chamber lens for secondary implantation is still an acceptable way to treat aphakia. The poor reputation of these lenses is undeserved.
Our results agree with those of other published series. Implantation of a flexible open-loop anterior chamber IOL as a primary lens is still an acceptable way of treating posterior capsule complications in cataract surgery.
A rare case where laser peripheral iridotomy resulted in crystalline lens dislocation into the vitreous cavity. The patient was managed with pars plana vitrectomy, fragmatome lensectomy, anterior chamber intraocular lens and surgical iridotomy with a final best corrected visual acuity of 6/9. Multiple episodes of laser peripheral iridotomy carries a risk of complete lens dislocation.
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