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.
Hara T, Hara T. Complications of Anterior Chamber Fixation of Posterior Chamber Intraocular Lenses—Reply. Arch Ophthalmol. 2006;124(4):607. doi:10.1001/archopht.124.4.607-a