Air-Assisted Implantation of Anterior Chamber Intraocular Lens

Purpose: We describe a technique of air-assisted anterior chamber intraocular lens (ACIOL) implantation. Methods: Lens aspiration and ACIOL implantation was performed in patients with progressive subluxation of lenses associated with systemic disorders. Results: Surgery was performed in nine eyes of six patients. No intraoperative adverse events were noted. There was air leak from the main port in three patients while inserting the intraocular lens; however the ACIOL was successfully implanted after re-injecting air from the side port. The mean best-corrected visual acuity improved from 0.67 to 0.25 log of minimal angle of resolution at 6-month follow-up. Mean intraocular pressure preoperatively was 14.54+1.38 mm Hg and 15.16+1.15 mm Hg at 6-month follow-up. Mean corneal endothelial count was 3,151+240.49 cells per square millimeter in the preoperative period and 2,947+194.9 cells per square millimeter at 6-month follow-up. Conclusions: Air-assisted ACIOL implantation seems to be a safe and effective technique for implantation of ACIOL in cases with progressive lens subluxation.