Phakic IOL removal with Femtosecond Laser Assisted Cataract Surgery using the Alcon LenSx platform. The phakic IOL is an Alcon Acrysof Cachet angle supported anterior chamber phakic IOL.
A custom ordered Zeiss AT-TORBI 709M IOL is implanted
The patient was a 58 year old man who had an Alcon Acrysof Cachet phakic IOL implanted 7 years prior for treatment of extreme myopia (refractive error -18D with an axial length of 33.10mm). Six years later, the patient developed a macula-on retinal detachment and underwent successful vitrectomy surgery to reattach the retina. The visual acuity subsequently deteriorated to 6/18 (20/60) due to development of a nuclear cataract following the vitrectomy surgery..
Following laser cataract surgery and explantation of the phakic IOL, the unaided visual acuity recovered to 6/6 (20/20)
Surgery performed in 2020 by Dr Simon Chen, Vision Eye Institute, Sydney, Australia.
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