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January 1987

Complications of Semiflexible, Closed-Loop Anterior Chamber Intraocular Lenses

Author Affiliations

From the University of Virginia Medical Center, Department of Ophthalmology, Charlottesville (Dr Smith); The Wilmer Ophthalmological Institute, The Johns Hopkins Hospital, Baltimore (Drs Wong, Stark, and Gottsch); Ophthalmology Associates of San Antonio, San Antonio, Tex (Dr Terry); and Columbia Eye Consultants, Columbia, Mo (Dr Bonham).

Arch Ophthalmol. 1987;105(1):52-57. doi:10.1001/archopht.1987.01060010058031

• Anterior chamber intraocular lenses (IOLs) provide good visual rehabilitation of aphakia in a majority of patients. An increasing number of eyes with closedloop, semiflexible anterior chamber implants are now being seen with decreased vision due to corneal edema and persistent cystoid macular edema. We evaluated 53 such eyes in 52 patients who presented with decreased vision one to 51 months (average, 15 months) after lens implantation. The most frequent lens implanted was the Surgidev Style 10 Leiske IOL. Surgery for IOL removal or exchange with or without penetrating keratoplasty was performed in 34 (64%) of 53 eyes; visual acuity recovery ranged from 20/20 to hand motions (average, 20/80). Despite clear corneal grafts in 24 (92%) of the 26 eyes that underwent corneal transplantation, visual acuity of 20/ 40 or better was obtained in only nine eyes (26%). Based on the intractable inflammatory sequelae associated with anterior chamber closed-loop IOLs, we strongly urge discontinuation of their use.

Stark WJ, Terry AC, Worthen D, et al:  Update of intraocular lenses implanted in the United States . Am J Ophthalmol 1984;98:238-239.
Terry AC, Stark WJ:  Removal of closed-loop anterior chamber lens implants . Ophthalmic Surg 1984;15:575-577.
Wiley RG, Neville RG, Martin WG:  Late postoperative hemorrhage following intracapsular cataract extraction with the IOLAB 91Z anterior chamber lens . J Am Intraocul Implant Soc 1983;9:466-469.Article
Beehler CC:  UGH syndrome with the 91Z lens . J Am Intraocul Implant Soc 1983;9:459.Article
Lieppman ME:  Loop precipitations in the 91Z lens . J Am Intraocul Implant Soc 1983;9:459.Article
Hagan JC III:  Complications while removing the IOLAB 91Z lens for the UGH-UGH+ syndrome . J Am Intraocul Implant Soc 1984;10:209-213.Article
Hagan JC III:  A comparative study of the 91Z and other anterior chamber intraocular lenses . J Am Intraocul Implant Soc 1984;10:324-328.Article
Maynor RC Jr:  Lens-induced complications with anterior chamber lens implants: A comparison with iris-supported and posterior chamber lenses . J Am Intraocul Implant Soc 1983;9:450-452.Article
Apple DJ, Olson RJ:  Closed-loop anterior chamber lenses . Arch Ophthalmol 1987;105:19-20.Article
Leiske LG:  Anterior chamber implants , in Rosen ES, Haining WM, Arnott EJ (eds): Intraocular Lens Implantation . St Louis, CV Mosby Co, 1984, pp 286-305.
Reidy JJ, Apple DJ, Googe JM, et al:  An analysis of semiflexible, closed-loop anterior chamber intraocular lenses . J Am Intraocular Implant Soc 1985;11:344-352.Article
Maynor RC Jr:  Five cases of severe anterior chamber lens implant complications . J Am Intraocular Implant Soc 1984;10:223-224.Article
Clayman HM:  Anterior chamber intraocular lenses , in The Surgeon's Guide to Intraocular Lens Implantation . Thorofare, NJ, Slack Inc, 1985, pp 67-83.
McDonnell PJ, Green WR, Maumenee AE, et al:  Pathology of intraocular lenses in 33 eyes examined postmortem . Ophthalmology 1983;90:386-403.Article
Ballin N:  Iris-erosion with the Leiske lens . J Am Intraocul Implant Soc 1982;8:158.Article
Mamalis N, Apple DJ, Brady SE, et al:  Pathological and scanning electron microscopic evaluation of the 91Z intraocular lens . J Am Intraocul Implant Soc 1984;10:190-199.Article
Miyake K, Asakura M, Kobayaski H:  Effect of intraocular lens fixation on the blood-aqueous barrier . Am J Ophthalmol 1984;98:451-455.Article
Duffin RM, Olson RJ:  Vaulting characteristics of flexible loop anterior chamber intraocular lenses . Arch Ophthalmol 1983;101:1429-1433.Article
Drews RC:  Intermittent touch syndrome . Arch Ophthalmol 1982;100:1440-1441.Article