Outcome of simultaneous phakic implantable contact lens removal with cataract extraction and pseudophakic intraocular lens implantation.
OBJECTIVE
To assess the outcome of simultaneous implantable contact lens (ICL) removal and cataract extraction with pseudophakic intraocular lens (IOL) implantation.


METHODS
CODET Aris Vision Institute, Tijuana, Mexico.


METHODS
This retrospective noncomparative interventional case series evaluated 14 eyes of 12 patients with ICL implantations who developed a cataract and simultaneously had ICL removal and cataract extraction with IOL implantation. The follow-up time was at least 6 months (range 6 to 24 months). Visual acuity (logMAR), manifest refraction, intraocular pressure, and adverse events were recorded.


RESULTS
Of the 12 patients (14 eyes), 10 patients (12 eyes) had ICL surgery to correct high myopia and 2 patients (2 eyes), to correct hyperopia. The mean uncorrected visual acuity after ICL implantation (before cataract development), before cataract surgery, and after cataract surgery were 0.48 +/- 0.32, 0.83 +/- 0.34, and 0.40 +/- 0.27, respectively. The mean best corrected visual acuity (BCVA) before ICL implantation, after ICL implantation, and after cataract surgery were 0.31 +/- 0.21, 0.28 +/- 0.19, and 0.27 +/- 0.21, respectively. The mean final manifest spherical equivalent was 0.30 diopters (D) +/- 1.07 (SD) (range +2.38 to 2.0 D). Ten eyes (71.4%) were within +/-1.0 D of the calculated target. One eye had a tear in the posterior capsule with vitreous loss during cataract surgery. No other intraoperative, perioperative, or postoperative complications were observed. No loss of BCVA was recorded at the last postoperative visit.


CONCLUSIONS
Lens opacities and cataract formation are a potential complication of ICL surgery. The removal of the ICL and the cataract with IOL implantation was found to be safe, with predictable refractive results.
Morales
Alberto J
AJ
CODET Aris Vision Institute, Tijuana, Mexico.
Zadok
David
D
Tardio
Edgar
E
Anzoulatous
George
G
Litwak
Sergio
S
Mora
Rolando
R
Martinez
Eduardo
E
Chayet
Arturo S
AS
D000328:Adult; D002386:Cataract / Q000209:etiology*; D003261:Contact Lenses / Q000009:adverse effects*; D020878:Device Removal; D006801:Humans; D006956:Hyperopia / Q000601:surgery; D007429:Intraocular Pressure; D019654:Lens Implantation, Intraocular; D008875:Middle Aged; D009216:Myopia / Q000601:surgery; D018918:Phacoemulsification; D019919:Prosthesis Implantation / Q000009:adverse effects*; D019591:Pseudophakia / Q000209:etiology; D012189:Retrospective Studies; D016896:Treatment Outcome; D014792:Visual Acuity