{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T22:24:19Z","timestamp":1793139859990,"version":"4.5.0"},"reference-count":36,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"Suppl 1","license":[{"start":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T00:00:00Z","timestamp":1777507200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To evaluate the efficacy and safety of cataract surgery in patients who underwent posterior chamber phakic intraocular lens (PCpIOL) explantation combined with phacoemulsification and intraocular lens (IOL) implantation, with a minimum follow-up period of 2 years postoperatively. Methods: Retrospective study done at a tertiary eye care hospital in South India.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Population:<\/jats:title>\n                    <jats:p>Electronic medical records of 57 eyes of patients who underwent PCpIOL explantation combined with phacoemulsification and IOL implantation due to cataract development between 2009 and 2022 were analyzed for visual outcomes, IOL power predictability, and intraoperative or postoperative complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Intervention:<\/jats:title>\n                    <jats:p>Phacoemulsification was performed in 54 eyes, and femtosecond laser-assisted cataract surgery (FLACS) was performed in three eyes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome Measure:<\/jats:title>\n                    <jats:p>Efficacy and safety of cataract surgery in these patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Anterior subcapsular cataract development remains the most common cause for pIOL explantation. The phakic IOL models explanted in our study were implantable collamer lens (ICL) V4b, implantable phakic contact lens (IPCL) V1, and IPCL V2. Good improvement in corrected distance visual acuity (CDVA) was observed post-phacoemulsification, with 80.6% achieving CDVA of 0.3 logMAR or better. A total of 86.1% of the eyes were within +\/-1.00 D of the target refraction (spherical equivalent). No intraoperative or early postoperative complications were noted. Posterior capsular opacification developed in 11 eyes, and retinal detachment (RD) in one eye.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Phacoemulsification post-PCpIOL explantation yields good visual outcomes, a high safety profile, and stable refraction, without increased complications. The Barrett Suite formula reliably predicts IOL power calculation. A detailed preoperative fundus examination, with emphasis on the peripheral retina, is vital prior to PCpIOL implantation and phacoemulsification.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ijo.ijo_1718_25","type":"journal-article","created":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T16:00:24Z","timestamp":1777564824000},"page":"S46-S51","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Concurrent phakic intraocular lens explantation and phacoemulsification with IOL implantation: A retrospective analysis of efficacy and safety"],"prefix":"10.4103","volume":"74","author":[{"given":"T Zunaitha","family":"Fathima","sequence":"first","affiliation":[{"name":"Cataract Surgery, The Eye Foundation, Coimbatore, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S","family":"Tamilarasi","sequence":"additional","affiliation":[{"name":"Cataract Surgery, The Eye Foundation, Coimbatore, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gitansha","family":"Sachdev","sequence":"additional","affiliation":[{"name":"Refractive and Cataract Surgery, The Eye Foundation, Coimbatore, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ramamurthy","family":"Dandapani","sequence":"additional","affiliation":[{"name":"Refractive and Cataract Surgery, The Eye Foundation, Coimbatore, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,4,30]]},"reference":[{"key":"R1-20260430","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1186\/s40662-020-00200-8","article-title":"Safety and visual outcomes following posterior chamber phakic intraocular lens bilensectomy","volume":"7","author":"Vargas","year":"2020","journal-title":"Eye Vis (Lond)"},{"key":"R2-20260430","doi-asserted-by":"crossref","first-page":"748","DOI":"10.1016\/j.jcrs.2017.03.032","article-title":"Refractive outcomes and complications after combined copolymer phakic intraocular lens explantation and phacoemulsification with intraocular lens implantation","volume":"43","author":"Meier","year":"2017","journal-title":"J Cataract Refract Surg"},{"key":"R3-20260430","doi-asserted-by":"crossref","first-page":"e38194","DOI":"10.1097\/MD.0000000000038194","article-title":"A comparative study of two phakic posterior chamber implantable lenses","volume":"103","author":"Yu","year":"2024","journal-title":"Medicine (Baltimore)"},{"key":"R4-20260430","doi-asserted-by":"crossref","first-page":"2329","DOI":"10.1016\/j.jcrs.2005.05.028","article-title":"Results of cataract extraction after implantable contact lens removal","volume":"31","author":"Bleckmann","year":"2005","journal-title":"J Cataract Refract Surg"},{"key":"R5-20260430","doi-asserted-by":"crossref","first-page":"2779","DOI":"10.4103\/ijo.IJO_2995_20","article-title":"Phakic intraocular lenses: An overview","volume":"68","author":"Jonker","year":"2020","journal-title":"Indian J Ophthalmol"},{"key":"R6-20260430","doi-asserted-by":"crossref","first-page":"800","DOI":"10.1016\/j.jcrs.2014.07.039","article-title":"Prevalence of cataract after collagen copolymer phakic intraocular lens implantation for myopia, hyperopia, and astigmatism","volume":"41","author":"Alfonso","year":"2015","journal-title":"J Cataract Refract Surg"},{"key":"R7-20260430","doi-asserted-by":"crossref","first-page":"1128818","DOI":"10.3389\/fmed.2023.1128818","article-title":"Challenges of refractive cataract surgery in the era of myopia epidemic: A mini-review","volume":"10","author":"Du","year":"2023","journal-title":"Front Med (Lausanne)"},{"key":"R8-20260430","doi-asserted-by":"crossref","first-page":"4292","DOI":"10.3390\/jcm13154292","article-title":"Visual outcomes of cataract surgery in patients with previous history of implantable collamer lens","volume":"13","author":"Del Risco","year":"2024","journal-title":"J Clin Med"},{"key":"R9-20260430","doi-asserted-by":"crossref","first-page":"241","DOI":"10.1016\/j.ajo.2021.09.035","article-title":"Accuracy of intraocular lens calculation formulas in patients undergoing combined phakic intraocular lens removal and cataract surgery","volume":"234","author":"Zhang","year":"2022","journal-title":"Am J Ophthalmol"},{"key":"R10-20260430","doi-asserted-by":"crossref","first-page":"54","DOI":"10.1016\/j.ophtha.2006.08.049","article-title":"Toric implantable collamer lens for moderate to high myopic astigmatism","volume":"114","author":"Sanders","year":"2007","journal-title":"Ophthalmology"},{"key":"R11-20260430","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1186\/s12886-020-01440-x","article-title":"Femtosecond laser assisted cataract surgery in a cataract patient with a \u201c0 vaulted\u201d ICL: A case report","volume":"20","author":"Yu","year":"2020","journal-title":"BMC Ophthalmol"},{"key":"R12-20260430","doi-asserted-by":"crossref","first-page":"566","DOI":"10.3928\/1081597X-20080601-04","article-title":"Anterior subcapsular opacities and cataracts 5 years after surgery in the visian implantable collamer lens FDA trial","volume":"24","author":"Sanders","year":"2008","journal-title":"J Refract Surg"},{"key":"R13-20260430","doi-asserted-by":"crossref","first-page":"487","DOI":"10.1001\/jamaophthalmol.2016.0078","article-title":"Clinical outcomes and cataract formation rates in eyes 10 years after posterior Phakic Lens implantation for myopia","volume":"134","author":"Guber","year":"2016","journal-title":"JAMA Ophthalmol"},{"key":"R14-20260430","doi-asserted-by":"crossref","first-page":"1506","DOI":"10.1016\/j.ophtha.2009.12.013","article-title":"Long-term changes in posterior chamber phakic intraocular collamer lens vaulting in myopic patients","volume":"117","author":"Schmidinger","year":"2010","journal-title":"Ophthalmology"},{"key":"R15-20260430","doi-asserted-by":"crossref","first-page":"518","DOI":"10.1016\/j.jcjo.2017.11.018","article-title":"Incidence of implantable collamer lens-induced cataract","volume":"53","author":"Gimbel","year":"2018","journal-title":"Can J Ophthalmol"},{"key":"R16-20260430","doi-asserted-by":"crossref","first-page":"1061","DOI":"10.4103\/ijo.IJO_1501_18","article-title":"Comparative analysis of clinical outcomes between two types of posterior chamber phakic intraocular lenses for correction of myopia and myopic astigmatism","volume":"67","author":"Sachdev","year":"2019","journal-title":"Indian J Ophthalmol"},{"key":"R17-20260430","first-page":"57","article-title":"Initial results from a new model of posterior chamber implantable phakic contact lens: IPCL V2.0","volume":"8","author":"Bianchi","year":"2019","journal-title":"Med Hypothesis Discov Innov Ophthalmol"},{"key":"R18-20260430","doi-asserted-by":"crossref","first-page":"2427","DOI":"10.2147\/OPTH.S188785","article-title":"The implantable collamer lens with a central port: Review of the literature","volume":"12","author":"Packer","year":"2018","journal-title":"Clin Ophthalmol"},{"key":"R19-20260430","doi-asserted-by":"crossref","first-page":"9212253","DOI":"10.1155\/2022\/9212253","article-title":"A prospective comparative study between implantable phakic intraocular contact lens and implantable collamer lens in treatment of myopia in adults","volume":"2022","author":"Rateb","year":"2022","journal-title":"J Ophthalmol"},{"key":"R20-20260430","doi-asserted-by":"crossref","first-page":"192","DOI":"10.4103\/djo.djo_4_21","article-title":"Visual and safety outcomes of a new implantable phakic contact lens in patients with a high degree of myopia","volume":"22","author":"Gad Elkareem","year":"2021","journal-title":"Delta J Ophthalmol"},{"key":"R21-20260430","doi-asserted-by":"crossref","first-page":"30","DOI":"10.3928\/1081597X-20141202-01","article-title":"Phakic intraocular lens explantation: Causes in 240 cases","volume":"31","author":"Ali\u00f3","year":"2015","journal-title":"J Refract Surg"},{"key":"R22-20260430","doi-asserted-by":"crossref","first-page":"624","DOI":"10.1097\/j.jcrs.0000000000001425","article-title":"Comparative study of FLACS vs conventional phacoemulsification for cataract patients with high myopia","volume":"50","author":"Zhao","year":"2024","journal-title":"J Cataract Refract Surg"},{"key":"R23-20260430","doi-asserted-by":"crossref","first-page":"5167","DOI":"10.21276\/SSR-IIJLS.2024.10.2.23","article-title":"Phacoemulsification in patients with high myopia: A retrospective analysis","volume":"10","author":"Tamaskar","year":"2024","journal-title":"SSR Inst Int J Life Sci"},{"key":"R24-20260430","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1097\/ICU.0b013e328333ea2f","article-title":"Cataract surgery following phakic intraocular lens implantation","volume":"21","author":"Moshirfar","year":"2010","journal-title":"Curr Opin Ophthalmol"},{"key":"R25-20260430","doi-asserted-by":"crossref","first-page":"272","DOI":"10.1016\/j.ophtha.2011.07.047","article-title":"Correlation between preoperative biometry and posterior chamber phakic visian implantable collamer lens vaulting","volume":"119","author":"Lee","year":"2012","journal-title":"Ophthalmology"},{"key":"R26-20260430","doi-asserted-by":"crossref","first-page":"320","DOI":"10.18240\/ijo.2023.02.23","article-title":"Application of femtosecond laser in assisted cataract after ICL implantation with different vault","volume":"16","author":"Li","year":"2023","journal-title":"Int J Ophthalmol"},{"key":"R27-20260430","doi-asserted-by":"crossref","first-page":"732","DOI":"10.1016\/j.jcrs.2018.12.025","article-title":"Intraocular lens power calculation in eyes with extreme myopia: Comparison of Barrett Universal II, Haigis, and Olsen formulas","volume":"45","author":"Rong","year":"2019","journal-title":"J Cataract Refract Surg"},{"key":"R28-20260430","doi-asserted-by":"crossref","first-page":"5947","DOI":"10.3390\/jcm11195947","article-title":"Accuracy of six intraocular lens power calculations in eyes with axial lengths greater than 28.0 mm","volume":"11","author":"Moshirfar","year":"2022","journal-title":"J Clin Med"},{"key":"R29-20260430","doi-asserted-by":"crossref","first-page":"435","DOI":"10.1016\/j.jcrs.2017.04.005","article-title":"Standard for reporting refractive outcomes of intraocular lens-based refractive surgery","volume":"43","author":"Reinstein","year":"2017","journal-title":"J Cataract Refract Surg"},{"key":"R30-20260430","doi-asserted-by":"crossref","first-page":"845","DOI":"10.1001\/archophthalmol.2009.67","article-title":"Four-year follow-up of posterior chamber phakic intraocular lens implantation for moderate to high myopia","volume":"127","author":"Kamiya","year":"2009","journal-title":"Arch Ophthalmol"},{"key":"R31-20260430","doi-asserted-by":"crossref","first-page":"576","DOI":"10.1016\/j.jcrs.2003.09.047","article-title":"Corneal endothelial assessment after ICL implantation","volume":"30","author":"Edelhauser","year":"2004","journal-title":"J Cataract Refract Surg"},{"key":"R32-20260430","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1007\/s10792-024-03076-y","article-title":"Retinal complications post posterior chamber phakic intraocular lens implantation at a tertiary eye hospital in the Eastern Province of Saudi Arabia","volume":"44","author":"Aljindan","year":"2024","journal-title":"Int Ophthalmol"},{"key":"R33-20260430","doi-asserted-by":"crossref","first-page":"2349","DOI":"10.1016\/S0161-6420(03)00794-2","article-title":"Clear lens extraction for the correction of high myopia","volume":"110","author":"Fernandez-Vega","year":"2003","journal-title":"Ophthalmology"},{"key":"R34-20260430","doi-asserted-by":"crossref","first-page":"2179","DOI":"10.1016\/j.ophtha.2015.07.014","article-title":"Incidence, risk factors, and impact of age on retinal detachment after cataract surgery in France: A National population study","volume":"122","author":"Daien","year":"2015","journal-title":"Ophthalmology"},{"key":"R35-20260430","doi-asserted-by":"crossref","first-page":"304","DOI":"10.1038\/eye.2009.87","article-title":"Clinical outcomes and patient satisfaction after Visian Implantable Collamer Lens removal and phacoemulsification with intraocular lens implantation in eyes with induced cataract","volume":"24","author":"Kamiya","year":"2010","journal-title":"Eye (Lond)"},{"key":"R36-20260430","doi-asserted-by":"crossref","first-page":"3071","DOI":"10.3390\/jcm9103071","article-title":"Intraocular lens power, myopia, and the risk of Nd: YAG capsulotomy after 15,375 cataract surgeries","volume":"9","author":"Lindholm","year":"2020","journal-title":"J Clin Med"}],"container-title":["Indian Journal of Ophthalmology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/IJO.IJO_1718_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:39:15Z","timestamp":1786649955000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/IJO.IJO_1718_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,30]]},"references-count":36,"journal-issue":{"issue":"Suppl 1","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/ijo.ijo_1718_25","relation":{},"ISSN":["0301-4738","1998-3689"],"issn-type":[{"value":"0301-4738","type":"print"},{"value":"1998-3689","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,30]]},"assertion":[{"value":"2025-07-10","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-02-16","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}