Aim: To observe the visual outcome and complications of late implanted anterior-chamber intraocular lens (ACIOL) in eyes with insufficient or absent posterior capsular support.Material and Methods: Observational study of 52 eyes of 51 patients over a period of 2 years. All eyes underwent late implantation of ACIOL after 3 months of primary surgery (aphakia), which were not eligible for posterior chamber IOL implantation due to different causes. Patients were kept aphakic with good anterior vitrectomy or pars plana vitrectomy for 3 months to reduce inflammation. ACIOL was then implanted with clear corneal incision after that period. Patients were observed for 18 to 48 months.Result: Mean age of the patients was 57.69±14.64 years with a female predominance (55.8%). Major indications for surgery were posterior capsular tear (57.70%) and subluxated crystalline lens (19.2%). Pre- and post- operative LogMar visual acuity was 1.51±0.29 and 0.31±0.28 respectively. Ninety percent (90.04%) eyes achieved 6/18 or better vision in the Snellen chart. A total of 9 eyes (17.30%) developed some complications. No patients developed persistent raised IOP finally.Conclusion: Late implantation of secondary ACIOLs results in good visual outcome and greatly reduced some complications such as persistent rise of intraocular pressure (IOP), persistent uveitis and cystoid macular edema.

Keywords : Late Implanted Anterior Chamber Intraocular Lens (ACIOL), Posterior Capsular Support, Persistent Rise of IOP, Persistent Uveitis and Cystoid Macular Edema.