Eight Years Experience With the Worst Medallion Two Loop Lens

Abstract

282 cataract patients were operated and a Worst Medallion 2-loop pseudophakos was implanted. The material consisted of 154 males, 128 females, mean age 58.8 years, range 3-88 years. 200 had senile, 35 pre-senile, 31 traumatic and 16 some other type of cataract. 247 were intracapsular, 35 extracapsular extractions. 87.6% of all cases had a vision of greater than or equal to 0.5; if 8 cases with non-implant dependent complications are excluded, the rate is 90.1%. The following complications were observed: one bullous keratopathy (0.4%) and 5 local corneopathies (1.8%), 9 cases of uveitis (3.2%) of them 2 hypopyon, 1 vitritis and 6 anterior uveitis, 19 cystoid macular oedema (6.7%) and 10 retinal detachments (3.5%). Subluxation was the most common complication, 28 cases (9.9%), and broken sutures were seen in 15 eyes (5.3%). Secondary glaucoma was observed in 2 cases (0.7%), 3 cases (1.1%) needed secondary surgery. The complication rate is similar to that of conventional cataract extraction given in the literature.