Although IT may not rank with troop withdrawal from Somalia, Bosnian intervention, or the Clinton Health Care Plan, intraocular lens (IOL) fixation in patients without a capsule in association with a corneal transplantation is an important controversy nonetheless. Corneal specialists, in general, are a gentle group, so the call to battle has been soft and muted. Sides, however, have been taken, and battle lines have been drawn. There are three camps, each with a battle cry and undesirable baggage.
Camp 1 consists of the flexible open-loop, anterior chamber IOL advocates.
If it isn't broken, why fix it? Appropriate anterior chamber IOLs do just as good a job as other approaches, with immensely easier surgical gymnastics.
Reports such as the one by Brunette et al1 in this issue of the Archives suggest that anterior chamber IOLs do not achieve the same desirable results as
Olson RJ. Pseudophakic Bullous Keratopathy and Intraocular Lens Fixation: To Suture or Not: That Is the Question! Arch Ophthalmol. 1994;112(10):1289–1290. doi:10.1001/archopht.1994.01090220039018
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