Femtosecond Laser Assisted Cataract Surgery in a Patient with Anterior Chamber Phakic IOL in situ

Introduction: Conventional phacoemulsification and intraocular lens (IOL) implantation for patients who already have a phakic IOL (PIOL) in situ can present challenges power calculation the surgical procedure. Here we report case of with without removing anterior toric PIOL. Patient Clinical Findings: This 45-year-old male was referred to our clinic mature cataract right eye, history multiple corneal procedures including radial keratotomy, LASIK, cross-linking, Artiflex PIOL implantation. Uncorrected (UDVA) corrected (CDVA) distance visual acuity were 20/2000. Diagnosis, Intervention, Outcomes: Since CDVA 20/25 after prior development cataract, cornea compromised, not removed. Using femtosecond laser assisted surgery (FLACS) through PIOL, capsulotomy fragmentation completed modifying device setting, an inserted bag. At one year surgery, eye UDVA, CDVA, refraction 20/32, 20/25, +1.25/-1.00*120ᵒ. Conclusion: In this case, FLACS successful technique preserving results stable during postoperative follow up.