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    Performing cataract surgery with phaco in patients with previous implantations

    Outcomes of phacoemulsification in eyes with iris-fixated phakic IOL implants



    The maximum follow-up time after pIOL surgery was 19 years, while after cataract surgery it was 9 years. The time of cataract incidence was 10 years. The predictability of the refraction was -0.5 +/-0.75 (SD).

    There was no decrease in either BCVA (20/25) or BCVA after pIOL implantation compared with BCVA after cataract surgery.

    The patient had no macular disorders. Dr Klass and his team found no significant endothelial cell density changes or loss after phacoemulsification. The maximum endothelial cell loss after 9 years was <2%.

    “The main advantages of this method compared with subsequent explantation of the pIOL with a large 6.5-7-mm incision are: the small (2.5 mm) size of the incision; the lack of surgery-induced astigmatism; absence of endothelial damage due to the pIOL having an additional function as a protection shield; and all other risk factors relating to a large incision size associated with high myopia,” said Dr Klass.

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