A retrospective study of the first 225 intraocular lens implants (IOL) performed by a single surgeon was conducted for this report. In complication rate and visual acuity assessed 4.5 months postoperatively, these patients (pseudophakes) compared very closely with 2 populations of aphakic patients who had had phacoemulsification surgery without lens implantation by the same surgeon. The majority of pseudophakes were left with moderate to low refractive errors. Patient satisfaction was found to be high. It appears that implantation of iris and capsular fixated intraocular lenses is a comparatively safe and in many cases advantageous procedure.