title: Late onset secondary cataract following implantation of an iris-fixated phakic intraocular lens.
abstract: OBJECTIVE
  To report a case of bilateral late onset anterior cortical cataract following implantation of an iris-fixated phakic intraocular lens (pIOL).
  
  
  METHODS
  Single observational case report.
  
  
  RESULTS
  Three and a half years following uncomplicated consecutive implantation of iris-fixated pIOL in both eyes, anterior cortical cataract changes inferiorly emanating from the site of enclavation of the lens in the right eye were noted. By 7 years after implantation, anterior cortical cataract changes were seen emanating from the enclavation sites superiorly and inferiorly in both eyes. These cataracts did not cause any loss of corrected distance visual acuity.
  
  
  CONCLUSIONS
  This case demonstrates that a potential complication of an iris-fixated pIOL is late onset secondary cataract formation.
authors.affiliation: Department of Ophthalmology, Stanford University School of Medicine, California 94305, USA.
authors.forename: Anthony
authors.initials: A
authors.lastname: Liu
authors.forename: Edward E
authors.initials: EE
authors.lastname: Manche
mesh_terms: D002386:Cataract / Q000209:etiology*; D002452:Cell Count; D004728:Endothelium, Corneal / Q000473:pathology; D005260:Female; D006801:Humans; D007498:Iris / Q000601:surgery*; D019654:Lens Implantation, Intraocular / Q000009:adverse effects*; D008875:Middle Aged; D009216:Myopia / Q000601:surgery*; D054120:Phakic Intraocular Lenses / Q000009:adverse effects*; D012029:Refraction, Ocular / Q000502:physiology; D041623:Tomography, Optical Coherence; D014792:Visual Acuity / Q000502:physiology