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Complications of Anterior Chamber Fixation of Posterior Chamber Intraocular Lenses—Reply
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In reply
For the most part, we agree with Drs Koch and Wang that implantation of a posterior chamber intraocular lens in the anterior chamber should be avoided. In our series, postoperative corneal endothelial cell loss in eyes with high preoperative cell density reached more than 25% in 10 years. However, there may be future potential for this procedure. Compared with previous studies,1 our results had the following beneficial findings: (1) there was no postoperative intraocular lens rotation; (2) there were no serious recurrences of inflammation; (3) all of the intraocular lens loops were located at the scleral spur (Figure) and there were almost no encapsulated or dislocated loops; and (4) there was almost no pupillary transformation.
Figure appears in full text version.
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Figure. Intraocular lens loops located at the scleral spur.
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Despite these good findings, why did marked corneal endothelial cell loss occur? There might have been minute and consistent loop genu movement . . . [Full Text of this Article]
AUTHOR INFORMATION
Tsutomu Hara, MD;
Takako Hara, MD
RELATED LETTER
Complications of Anterior Chamber Fixation of Posterior Chamber Intraocular Lenses
Douglas D. Koch and Li Wang
Arch Ophthalmol. 2006;124(4):606-607.
EXTRACT
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RELATED ARTICLE
Ten-Year Results of Anterior Chamber Fixation of the Posterior Chamber Intraocular Lens
Tsutomu Hara and Takako Hara
Arch Ophthalmol. 2004;122(8):1112-1116.
ABSTRACT
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