Double perforation of the lens by an intraocular foreign body

Implantation of an artificial lens after extracapsular cataract extraction with perforation of the anterior and posterior lens capsules is only possible under special circumstances. In only one out of 5 cases could a posterior chamber lens be implanted. This kind of injury can easily lead to a vitreous-lens mixture in the anterior chamber, which then has to be removed by a vitrector. In the cases described here the unilateral aphakia was corrected with a contact lens. In order to prevent future complications neither an anterior chamber lens nor an iris clip lens were implanted.