title: Clinical outcomes and patient satisfaction after Visian Implantable Collamer Lens removal and phacoemulsification with intraocular lens implantation in eyes with induced cataract.
abstract: OBJECTIVE
  To assess the clinical outcomes and patient satisfaction after simultaneous Implantable Collamer Lens (ICL) removal and phacoemulsification with intraocular lens (IOL) implantation in ICL-implanted eyes with developing cataracts.
  
  
  METHODS
  We retrospectively reviewed the clinical charts of 10 eyes of eight patients who developed significant cataract after ICL implantation. Patient age was 47.2+/-5.9 (mean+/-SD) years (range, 37-57 years). We determined visual acuity (log MAR), manifest refraction, endothelial cell density, and subjective satisfaction with visual outcomes measured using a visual analogue scale, that ranged from 0 (very dissatisfied) to 10 (very satisfied), before and 3 months after cataract surgery.
  
  
  RESULTS
  Log MAR best spectacle-corrected visual acuity was significantly improved from 0.19+/-0.30 preoperatively to -0.06+/-0.07 postoperatively (P=0.007, Wilcoxon signed-rank test). Eight (80%) and nine (90%) of the 10 eyes were within 0.5 D (diopter) and 1.0 D of the targeted correction, respectively. The endothelial cell density was 2584.9+/-266.2 cells/mm(2) preoperatively, and 2340.1+/-269.7 cells/mm(2) postoperatively. The overall satisfaction with visual outcomes was scored 1.8+/-1.1 (range: 0-3) preoperatively, and 7.9+/-1.4 (range: 6-10) postoperatively. No vision-threatening complications were seen throughout the follow-up period.
  
  
  CONCLUSIONS
  Simultaneous ICL removal and phacoemulsification with IOL implantation was safe and effective with predictable refractive results, and thus yielded a high level of patient satisfaction with ICL-induced cataract treatment.
authors.affiliation: Department of Ophthalmology, University of Kitasato School of Medicine, Sagamihara, Kanagawa, Japan. kamiyak-tky@umin.ac.jp
authors.forename: K
authors.initials: K
authors.lastname: Kamiya
authors.forename: K
authors.initials: K
authors.lastname: Shimizu
authors.forename: A
authors.initials: A
authors.lastname: Igarashi
authors.forename: D
authors.initials: D
authors.lastname: Aizawa
authors.forename: T
authors.initials: T
authors.lastname: Ikeda
mesh_terms: D000328:Adult; D002386:Cataract / Q000209:etiology*; D002387:Cataract Extraction / Q000379:methods; D020878:Device Removal; D005260:Female; D006801:Humans; D019654:Lens Implantation, Intraocular / Q000009:adverse effects*; D007910:Lenses, Intraocular / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D009216:Myopia / Q000601:surgery; D017060:Patient Satisfaction; D018918:Phacoemulsification; D019919:Prosthesis Implantation / Q000009:adverse effects*; D012189:Retrospective Studies; D014792:Visual Acuity