Cataract surgery with intraocular lens implantation in cyclopia patients

PURPOSE: To analyse results and complications of cataract surgery with IOL implantation in monopic patients. MATERIAL AND METHODS: 41 monopic patients underwent cataract surgery with IOL implantation during the period of 1995-1997. The follow up time ranged from 3 to 28 months (mean 16 months). RESULTS: Intraoperatively there were 2 cases of posterior capsule tears with vitreous loss. Postoperatively, transient hypertonia in 4 eyes, Descemet's membrane folds in 15 eyes, and fibrinous reaction in anterior chamber in 2 eyes were observed. 71% of patients achieved visual acuity of 5/5-5/12. CONCLUSION: Monopia should not be considered as a contraindication for IOL implantation, although special attention should be paid to choosing the proper time of operation, which should be performed extremely carefully by an experienced surgeon.