Secondary IOL implantation is widely accepted, especially in aphakic patients who have become contact lens intolerant or noncompliant. Secondary implantation of a posterior chamber intraocular lens in an aphakic eye devoid of an intact posterior capsule requires a special surgical approach. When lens capsule remnants remain in the periphery, the ciliary sulcus can be reconstructed to accommodate a posterior chamber lens.
The fibrotic lens or capsular residues that often remain adherent to the posterior surface of the iris are divided with sharp intraocular scissors, and a shelf is created that is sufficient to support the lens haptics. Iridocapsular adhesion after cataract surgery can cause pupil contour change associated with functionally significant glare for the patient, decreased focal depth, some decreased visual acuity, and the release of potential inflammatory mediators, which…
