Incidence rate and occurrence of visually significant cataract formation and corneal decompensation after implantation of Verisyse/Artisan phakic intraocular lens
A 45-year-old woman presented to the Moran Eye Center in 1999, interested in refractive surgery for severe myopia. She had a spherical equivalent (SE) of −6.875 in the right eye and −11.875 in the left eye. At the time of presentation, the Verisyse pIOL was being evaluated by an FDA Phase III clinical trial, and the patient received a pIOL in the left eye through this study. Postoperative CDVA was 20/20 with an SE of −1.75. The patient elected for laser-assisted in situ keratomileusis (LASIK) in the right eye approximately a year later. She subsequently developed a visually significant posterior subcapsular cataract (PSC) in the right eye 5 years after LASIK, and underwent cataract extraction and intraocular lens implantation. Ten years after left pIOL implantation, the patient began to develop a nuclear sclerotic cataract (NSC) in the left eye. Three years later (13 years postimplantation), the left CDVA had decreased to 20/50+2, and it was decided that cataract surgery was necessary. The pIOL was removed, and phacoemulsification with posterior chamber intraocular lens (PCIOL) placement was performed on the left eye. At the most recent follow-up 5 months after removal of the pIOL, CDVA in the left eye was 20/20 and SE was plano.