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February 1990

Anterior Chamber Intraocular Lenses

Author Affiliations

Grosse Pointe Park, Mich

Arch Ophthalmol. 1990;108(2):165. doi:10.1001/archopht.1990.01070040015003

To the Editor.  —The article by Sugar et al1 in the November 1988 issue of the Archives might lead to incorrect conclusions concerning late lens complications.The article was supposedly about 024 (Hessburg) anterior chamber intraocular lens (HAC-IOL) complications; however, the authors repeatedly refer to closed-loop lenses as a class. The Food and Drug Administration (FDA) Ophthalmic Device Division prohibits commingling of IOL data for good reason. In fact, the HAC-IOL was not among the AC lenses in the original references2,3 of Sugar et al. It was included in the article of Apple et al4; of 351 accessioned closed-loop AC-IOLs of four styles, only 30 were HAC-IOLs.Sugar et al reported on 18 eyes treated for pseudophakic bullous keratopathy (PBK) over 7½ years. Risk factors for PBK were evaluated citing findings of Taylor et al,5 whose article was on iris-supported lenses. Sugar et al assume (erroneously)