Eighteen enucleated pseudophakic and 14 aphakic eyes were histopathologically described. An analysis was made of the histologic data in combination with clinical information. In conclusion, cataract extraction with subsequent implantation of an artificial lens seems to bear a higher risk than cataract extraction alone, notwithstanding-perhaps--better technical work during implant surgery. The presence of an intraocular lens may induce either fatal inflammations or complications necessitating other surgical interventions, which may contribute to a fatal outcome. However the proportion of enucleated eyes to the total number of lens implantations is almost negligible, it probably reflects the clinical complications.