PURPOSE To assess the feasibility of using phakic intraocular lenses (PIOL) to treat high myopia, and evaluate the incidence of cataract, comparing three different lens types. METHODS From 1989 to 2002, we implanted three different phakic intraocular lenses (PIOL) in 343 eyes of 232 patients; 231 eyes recieved an Ophtec (Worst-Fechner model, iris-claw), 89 an Adatomed (silicone posterior cham...

We aim to present a case of retinal detachment secondary to capsular tension ring dislocation following cataract surgery. A 45-year-old man who underwent cataract surgery 2 years previously presented with decreased vision in his left eye. The patient's posterior capsule was intact with a well-located posterior chamber intraocular lens. Fundus examination revealed retinal detachment with retinal...

PURPOSE Vitrectomy, when followed by cataract surgery, increases the risk of open-angle glaucoma. This study was conducted in patients to determine whether these procedures are associated with increased exposure of the trabecular meshwork to oxygen. METHODS Oxygen distribution was recorded with a fiberoptic probe in patients undergoing surgery for cataract, glaucoma, or retinal disease. pO(2)...

The safety and efficacy of a modified technique for transscleral fixation of a foldable posterior chamber intraocular lens (IOL) for intracapsular aphakia (secondary IOL) or after complicated phacoemulsification was evaluated. All eyes had inadequate or no posterior capsular support. Follow-up was between 4 and 26 months (mean, 12 months). Uncorrected visual acuity improved (> 2 lines) in all p...

The cause of dislocation of an intraocular lens is a direct blow or jerk, and dislocation may complicate both iris-supported and capsule-supported lenses. In capsule-supported lenses the implant dislocates towards the anterior chamber but in iris-supported lenses the dislocation is posterior. A technique for removal of a posterity dislocated lens is described.

An 84-year-old woman developed high intraocular pressure with a shallow anterior chamber 2 months after an extracapsular cataract extraction with posterior chamber lens implant. The condition did not respond to peripheral iridectomy and removal of the implant but was treated successfully with YAG laser capsulotomy and anterior hyaloidotomy.