Visual Outcome and Complications of Modern Kelman Style Anterior Chamber Intraocular Lens Implantation.

Yi, T K; Kwon, J S; Shin, D E

Original Article

Journal of the Korean Ophthalmological Society 1999;40(10):2773-2784.
Published online October 1, 1999.

Visual Outcome and Complications of Modern Kelman Style Anterior Chamber Intraocular Lens Implantation.

T K Yi, J S Kwon, D E Shin

Department of Ophthalmology, Korea Veterans Hospital.

Modern Kelman Style 전방인공수정체 삽입술의 임상성적 및 합병증

이태곤(Tae Kon Yi),권재수(Jae Soo Kwon),신동율(Dong Eul Shin)

Abstract

We retrospectively evaluated the visual outcome and complications of anterior chamber intraocular lens [AC IOL] implantation surgery in 41 patients [43 eyes] from March 1996 to February 1999. Twelve cases had taken secondary AC IOL implantation, fourteen cases had taken extracapsular cataract extraction [ECCE] with AC IOL implantation, eight cases had taken phacoemulsification with AC IOL implantation, six cases had taken intracapsular cataract extraction [ICCE] with AC IOL implantation and three cases had taken removal of dislocated posterior chamber intraocular lens [PC IOL] with AC IOL implantation. Mean follow-up time was 18.8 +/- 10.8 months. Final available post-operative best-corrected visual acuity [BCVA] of 0.5 or better was achieved in 37 eyes [86.0%]. In secondary AC IOL implantation cases, final available postoperative BCVA was improved than preoperative BCVA and it was statistically significant [p<0.01]. Post-operative complications which result in final available post-operative BCVA less than 0.5 were a case [2.3%] of cystoid macular edema [CME], a case [2.3%] of aggravation of pre-existing diabetic retinopathy. Serious post-operative complications such as retinal detachment and bullous keratopathy were not found.

Key Words: Anterior chamber intraocular lens[AC IOL];Best-corrected visual acuity[BCVA];Cystoid macular edema[CME];Secondary glaucoma