Six eyes that experienced acute intraoperative suprachoroidal hemorrhage or effusion (AISHE) during primary extracapsular cataract surgery have had secondary lens implantation. All secondary procedures were without recurrent AISHE and uneventful. The six patients achieved 20/30 or better corrected visual acuity. The key to these good results was the maintenance of an intact posterior capsule at the time of original surgery. This was accomplished with early rapid wound closure and no choroidal drainage.