Current Ophthalmology Reports

, Volume 6, Issue 4, pp 217–225 | Cite as

Secondary IOLs: ACIOL vs Iris Sutured vs Scleral Fixated vs Phakic IOL in Aphakic Settings

  • Mahmood J. Khan
  • Zaina N. Al-Mohtaseb
  • Dooho Brian KimEmail author
Cataract (CE Starr and A Brissette, Section Editors)
Part of the following topical collections:
  1. Topical Collection on Cataract


Purpose of Review

The aim of this review is to present ophthalmologists with up-to-date literature and treatment practices in the correction of vision with secondary intraocular lenses (IOLs) in the aphakic setting.

Recent Findings

Advances in the surgical techniques for the implantation of secondary intraocular lenses have allowed for improved postoperative outcomes. Studies published continue to evaluate the different surgical approaches and provide guidance to surgeons when choosing the optimal treatment plan for their patients.


In the absence of adequate capsular support, surgical implantation of intraocular lenses in different positions within the eye can be performed. Anterior chamber, iris-sutured, scleral-fixated, and iris-claw intraocular lenses have been found to be safe and effective treatment modalities in the correction of aphakia in eyes lacking adequate capsular support. Recent studies show that the development of new surgical techniques continue to provide safer and more effective treatment options for these patients.


Aphakia Intraocular lens Capsular bag Treatment 


Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.


Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  • Mahmood J. Khan
    • 1
  • Zaina N. Al-Mohtaseb
    • 2
  • Dooho Brian Kim
    • 3
    Email author
  1. 1.Department of OphthalmologyBaylor College of MedicineHoustonUSA
  2. 2.Cornea, Cataract and Refractive SurgeryBaylor College of MedicineHoustonUSA
  3. 3.Comprehensive, Cornea, Cataract and Refractive SurgeryDaltonUSA

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