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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



    Undertaking cataract surgery with phacoemulsification behind the pIOL without explantation of the anterior chamber lens offers the benefits of pIOL function as protection for the cornel endothelium; good predictability of the desired post-operative refraction; excellent visual rehabilitation; and, overall, fewer complication rates.

    Due to the complex nature of the surgical procedure, this method is recommended mainly for experienced phaco-surgeons.


    1. Maloney RK, Nguyen LH, John ME. Ophthalmology. 2002;109:1631–1641.

    2. Tahzib NG, Nuijts RM, Wu WY, Budo CJ. Ophthalmology. 2007;114:1133–1142.

    3. de Vries NE, et al. J Cataract Refract Surg. 2009;35:121-126.

    4. Klaas D. Viscosplit and crack in mini-coaxial small-incision cataract surgery. Ophthalmology Times Europe. 2016;12:16-19.



    Dr Dieter W Klaas, MD

    E: [email protected]

    Dr Dieter W Klaas is an ophthalmologist at Augenzentrum Friedberg, Germany. He has no financial interests to declare.




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