Hydrogel lenses are flexible and hydrophilic. The IOGEL lens can be folded with Faulkner forceps and implanted through a 3.5 mm incision. Inadvertant contact with the endothelium causes only minimal cell loss. In April 1988, the authors switched from sulcus to bag fixation and have since inserted 35 lenses. Capsulorhexis appears to guarantee stability and centration. Complications are rare and minor in nature, and can be avoided by adopting an appropriate technique. While retaining all the advantages of phacoemulsification, the procedure considerably accelerates physical and visual rehabilitation. However, long-term results must be awaited.