Nuclear cataract, moderate oblique corneal astigmatism, and glaucoma in a highly myopic eye implanted with a foldable iris-fixated phakic IOL

A 65-year-old woman had undergone bilateral foldable iris-fixated phakic intraocular lens (pIOL) implantation in 2008 to correct for high myopia of −10 diopters (D). 12 years later, she presented with nuclear and subcortical cataract in her right eye. The Artiflex pIOL (Figure 1 JOURNAL/jcrs/04.03/02158034-202111000-00021/figure1/v/2023-08-19T002621Z/r/image-tiff ) was well centered and fixed to the iris. Endothelial cell count (ECC) was 2159...