Complications of the Simcoe flexible loop phacoprosthesis in the anterior chamber.

A preliminary study of the use of a Simcoe 101-J implant in the anterior chamber after pars plana lensectomy by ultrasonic fragmentation showed initially good results. Further observations of these and additional eyes showed 20/20-20/40 vision in 86.9%, retinal detachment in 3.5%, retinal hole in 1.5%, clinical cystoid maculopathy in 13%, and so-called UGH syndrome in 5%. Pars plana lensectomy alone in the last 136 eyes resulted in vision of 20/20-20/40 in 98.5%, a retinal detachment rate of 0.73%, retinal hole rate of 0.73%, no UGH syndrome, and no clinical cystoid maculopathy. Pars plana lensectomy alone appears to be a far safer procedure than pars plana lensectomy plus a Simcoe implant in the anterior chamber. Implantation of the Simcoe 101-J manufactured by IOLAB Corp. in the anterior chamber is not recommended.