Abstract
A series of 795 primary intraocular lens (IOL) implantations performed at the Wilmer Institute during the past 6 years by two surgeons were reviewed. Progressive corneal endothelial-cell loss and an increased rate of late-onset corneal edema were detected in the group with the Morcher(European) four-loop iris-clip Binkhorst IOLs. Clinically significant cystoid macular edema was more frequent in eyes with the American four-loop Binkhorst lens, presumably due to chronic iritis caused by contaminants on the IOLs. Our short-term results with the American Shearing-type IOLs implanted at the time of extracapsular cataract extraction are encouraging, with 98% of the cases achieving 20/40 vision or better, excluding those with known macular degeneration or amblyopia. A continued cautious approach to IOL implantation is recommended.
Original language | English (US) |
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Pages (from-to) | 65-73 |
Number of pages | 9 |
Journal | Ophthalmologica |
Volume | 187 |
Issue number | 2 |
DOIs | |
State | Published - 1983 |
Keywords
- Cataract extraction
- Corneal edema
- Corneal endothelium
- Cystoid macular edema
- Hypopyon
- Inflammation
- Intraocular lens
- Specular microscopy
ASJC Scopus subject areas
- Ophthalmology
- Sensory Systems