title: Results of cataract surgery after implantation of an iris-fixated phakic intraocular lens.
abstract: OBJECTIVE
  To report the results of cataract surgery after previous implantation of an Artisan iris-fixated phakic intraocular lens (pIOL) for the correction of myopia.
  
  
  METHODS
  University center and private practice.
  
  
  METHODS
  This study comprised eyes with previous implantation of an iris-fixated pIOL to correct myopia and subsequent pIOL explantation combined with cataract surgery and in-the-bag implantation of a posterior chamber IOL. Predictability of refractive results, changes in endothelial cell density (ECD), and postoperative best corrected visual acuity (BCVA) were analyzed.
  
  
  RESULTS
  The mean follow-up after cataract surgery in the 36 eyes of 27 consecutive patients was 5.7 months +/- 7.5 (SD). The mean time between pIOL implantation and cataract surgery was 5.0 +/- 3.4 years. After explantation of the pIOL and subsequent cataract surgery, the mean spherical equivalent (SE) was -0.28 +/- 1.11 diopters (D); the SE was within +/-1.00 D of the intended correction in 72.2% of patients and within +/-2.00 D in 86.1% of patients. The mean endothelial cell loss after the combined procedure was 3.5% +/- 13.2% and the mean postoperative BCVA, 0.17 +/- 0.18 logMAR.
  
  
  CONCLUSIONS
  In patients with a history of implantation of an iris-claw pIOL for the correction of myopia, cataract surgery combined with explantation of the pIOL yielded acceptable predictability of the postoperative SE and minimal loss of ECD, resulting in a gain in BCVA.
authors.affiliation: Department of Ophthalmology, University Hospital Maastricht, Maastricht, The Netherlands.
authors.forename: Niels E
authors.initials: NE
authors.lastname: de Vries
authors.forename: Nayyirih G
authors.initials: NG
authors.lastname: Tahzib
authors.forename: Camille J
authors.initials: CJ
authors.lastname: Budo
authors.forename: Carroll A B
authors.initials: CA
authors.lastname: Webers
authors.forename: Ruben
authors.initials: R
authors.lastname: de Boer
authors.forename: Fred
authors.initials: F
authors.lastname: Hendrikse
authors.forename: Rudy M M A
authors.initials: RM
authors.lastname: Nuijts
mesh_terms: D000328:Adult; D000368:Aged; D002452:Cell Count; D020878:Device Removal; D004728:Endothelium, Corneal / Q000473:pathology; D005500:Follow-Up Studies; D006801:Humans; D007498:Iris / Q000601:surgery*; D019654:Lens Implantation, Intraocular / Q000379:methods*; D008875:Middle Aged; D009216:Myopia / Q000601:surgery*; D018918:Phacoemulsification; D054120:Phakic Intraocular Lenses; D019904:Polymethyl Methacrylate; D011183:Postoperative Complications; D011379:Prognosis; D012029:Refraction, Ocular / Q000502:physiology; D041623:Tomography, Optical Coherence; D014792:Visual Acuity / Q000502:physiology
chemical_list: D019904:Polymethyl Methacrylate