Secondary Intraocular Lenses in Eyes with Aphakia or Dislocated IOL: Impact Of Suture Fixation On Early And Late Complications Sekundre IOL-Implantation bei Aphakie, Kernfragment-Versenkung und IOL- Dislokation: die Rolle der Nahtfixation auf frhe und spte Komplikationen

Background: Secondary intraocular lens (IOL) implantation is exposed to an increased risk of complications, including endophthalmitis and retinal detachment. The present analysis com- pares the outcomes and complications experi- enced in our own series of patients. Patients and Methods: We retrospectively re- viewed a consecutive series of secondary poster- ior chamber IOL implantations performed in a single centre, two surgeon setting over a period of 8 years and with a follow up-time of at least 4 months. Results: Between 1997 and 2005, 75 patients re- ceived a sulcus-supported secondary IOL without suture fixation, whereas suture fixation was re- quired in 137 instances. Visual acuity improved in both groups (group 1: from 0.36 € 0.39 (0.01 - 1.2) to 0.73 € 0.33 (0.02 - 1.0; p = 0.18); group 2: from 0.33 € 0.34 (0.02 - 1.0) to 0.46 € 0.33 (0.01 - 1.0; p = 0.006), but more pronounced in eyes not