Ten Years Follow-Up of Aphakia Treatment by a Foldable Posterior Chamber Intraocular Lens Implantation into the Anterior Chamber

Purpose: To report the 10 years’ results of aphakia treatment by a foldable posterior chamber intraocular lens (PCIOLs) implantation into the anterior chamber. Methods Retrospective observational case series. Patients who underwent implantation of foldable PCIOLs in the AC with the haptics passing through two iridectomies to the posterior chamber were studied. Preoperative and postoperative refractive status, postoperative corneal astigmatism, lenticular astigmatism, and complications were recorded. Anterior chamber depth (ACD) was detected by ultrasonic biomicroscopy (UBM). Results Fifty-one eyes of 51 patients were included in the study. Of these eyes, 21 eyes were examined at 10 years postoperatively. The mean preoperative corrected distance visual acuity (CDVA) was 1.06 ± 0.68 logMAR and postoperative was 0.49 ± 0.44 at 1 year (p < 0.01); 0.49 ± 0.44 (p < 0.01) at 2 years; and 0.45 ± 0.39 (p < 0.01) at 10 years. The mean lenticular astigmatism was 0.96 ± 0.78 D. Glaucoma in 11 eyes, retinal detachment in 3 eyes, cystoid macular edema in 6 eyes, corneal decompensation in 11 eyes, and haptic dislocation in 7 eyes were observed. The mean distance between the IOL and the endothelium was 3,03 ± 0.29 mm. Conclusions Advantages of our technique are lack of a need for special design lenses and surgical equipment, small learning curve, and faster surgical time. This technique is a practical alternative that leads to favorable visual outcomes and is comparable to the complications of other techniques in the eyes with the absence of capsular support.