From January 1989 till July 1993 85 anterior chamber lenses were implanted at the 1st Department of the 1st Medical School of the Charles University in Prague. In 30 cases the anterior chamber lenses were implanted primarily and in 55 cases as a secondary procedure. In all cases flexible lens of Kelman type was used. The incidence of postoperative complications was almost the same as was described in literature. The complications were less frequent after secondary implantations. After more extent loss of vitreous during extracapsular cataract extraction it is recommended to delay the implantation of anterior chamber lens at least after half a year. Final visual acuity 6/6-6/12 was achieved in 70% primary and in 85.5% secondary implantations.
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