A follow-up study concerns about 120 eyes with an AC lens implanted between 5 and 11 years ago (mean: 6.75 years). Corneal edema is present in 6.5%, CME (reversible cases included) in 7.5%, secondary glaucoma only in 2%, and retinal detachment in 1%. Corneal edema, the main complication, is correlated with time and vitreous loss. After unsuccessful ECCE, an AC lens should be implanted mainly in elderly patients, but seems still to be a true alternative.