rss
Br J Ophthalmol 1989;73:940-945 doi:10.1136/bjo.73.12.940
  • Research Article

Complications of prosthetic intraocular lens implantation: a histopathological study.

  1. A Garner
  1. Department of Pathology, Institute of Ophthalmology, University of London.

      Abstract

      A total of 104 eyes and 43 resected corneal discs from patients with failed intraocular lens implants (IOL) received over a period of 35 years were subjected to histopathological analysis. Eyes collected at necropsy from 18 people with clinically successful implants were also examined. Corneal decompensation leading to bullous keratopathy was the most frequent reason for failure, followed by glaucoma and intraocular inflammation. Of 18 cases in which inflammation was the principal clinical cause of failure 12 presented as infectious endophthalmitis, but minor degrees of sterile uveitis were fairly common. Retinal detachment was seen in seven cases. The interval between IOL implantation and the onset of serious complications varied from one month to 29 years, indicating that the presence of prosthesis will always entail a latent risk of an adverse tissue response, albeit slight.

      This Article

      1. Abstract
      2. PDF

      Responses

      1. Submit a response
      2. No responses published

      Register for free content

      The full back archive is now available for all BMJ Journals. Institutional subscribers may access the entire archive as part of their subscription. Personal subscribers will also have access to all content when logged in. Non-subscribers who register have free access to all articles published before 2006 right back to volume 1 issue 1. Register here to access the free archive of all BMJ Journals.

      Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.