Phakic IOLs are useful to address extreme degrees of myopia, but there are potential complications. Previously, we have featured cases of posterior chamber phakic IOLs which rubbed the anterior lens capsule and induced cataracts. In this case, there is an angle-supported anterior chamber phakic IOL which is causing corneal decompensation. Our guest surgeon is Dr. Buonsanti Dante, MD from Buenos Aires, Argentina and he shows us the technique of combined phakic IOL removal plus cataract surgery. This case is confounded by prior radial keratotomy and also this AC phakic IOL is made of PMMA so it is not foldable and it also cannot be cut inside the eye.
Click to learn from this unusual and interesting surgery: