Complications of Semiflexible, Closed-Loop Anterior Chamber Intraocular Lenses

Late dislocation of an anterior chamber intraocular lens into the vitreous

“…They reduce the risk of corneal decompensation, Fig. 1 Luxated AC IOL before mydriasis glaucoma, and cystoid macular edema [4]. However, these techniques also have certain disadvantages, such as increased risk of IOL tilt [8], suprachoroidal or vitreous hemorrhage [9], and retinal detachment [10].…”

“…However, when this is not possible due to capsular rupture or large zonular dialysis, an AC IOL implantation can be considered as an option [1][2][3]. Complications of AC IOLs can be progressive corneal endothelial damage and decompensation, chronic ocular inflammation with secondary glaucoma and/or cystoid macular edema, angle structure damage, peripheral anterior synechiae, fibrosis of the haptics into the angle, pupillary block, iris chafing, and hyphema [3][4][5]. On the other hand, recent publications emphasize the importance of the design of the IOL rather than its implantation site.…”

Implantation of scleral fixated sutured posterior chamber lenses: a retrospective analysis of 119 cases

“…The scleral fixated intraocular lens is particularly suitable for cases of unilateral aphakia and contact lens incompatibility. The implantation of anterior chamber lenses and their complications can also be avoided [1][2][3][4][5][6][7][8]. In special cases, such as a luxated lens (Fig.…”

Long-term evaluation of primary anterior chamber intraocular lens implantation in complicated cataract surgery

“…Insertion of an AC IOL is an easier procedure than fixation of a posterior chamber lens with sutures, but problems related to the early AC IOLs, especially rigid and closed-loop types [1][2][3], have comdemned the use of all AC IOLs [1]. The modern flexible open-loop AC IOLs have, however, been recommended as an alternative to sutured posterior chamber IOLs [4--6] but the number of reported cases is fairly small.…”