Endo capsular insertion of intra ocular implant.

The first 500 posterior chamber lenses inserted in the capsular bag, have been analysed in detail. The cases included in this study were developmental, traumatic and complicated cataracts in addition to senile cataract. The follow-up ranged from 6 months to 2 years. Although posterior capsule rupture occurred in 23 cases, the lens was inserted in 12 cases with a small tear. In general the complications were found to be minimal and visual recovery was good in more than 80% of the cases. The only problems we have been facing were thickening of the posterior capsule (11.6%), high astigmatism (12.2%), pupillary capture (5.6%) and decentering of the lens (2.8%).