To evaluate long-term results of Wagon Wheel packed AcrySof intraocular lenses (IOLs), 88 and 39 patients (115 and 55 eyes respectively) were examined at 14 and 28 months respectively. Visual acuity increased from an average of 0.324 preoperatively to about 0.722 one week post-operatively. A YAG capsulotomy had to be performed in two eyes only. Vacuoles, as described with the Acry Pak system, were also detectable in our Wagon Wheel packed lenses. They increased significantly in incidence and number with time.