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PUBLICATION EXCLUSIVE: Through the years of fixating IOLs in challenging cases
In the 1980s as the director of the Cornea Service at the University of Minnesota, I was referred several hundred patients with closed-loop anterior chamber IOLs, usually so-called Leiske anterior chamber lenses originally manufactured by Surgidev, with significant complications. The typical patient would present with pseudophakic bullous keratopathy. Most of these eyes had undergone intracapsular cataract extraction, so there was no capsular support. Often there was associated peripheral anterior synechiae, cystoid macular edema and, in many cases, secondary glaucoma. The surgery to rehabilitate these eyes in those days involved penetrating (Read more...)