Ten-year follow-up of a ciliary sulcus-fixated silicone phakic posterior chamber intraocular lens☆

In 1992, a ciliary sulcus-fixated, silicone, phakic posterior chamber intraocular lens (PPC IOL) (Adatomed, Fyodorov type) was implanted in both eyes of a 42-year-old white woman to correct high myopia (right eye, −17.0 diopters [D]; left eye, −11.5 D). In the right eye, localized cortical opacification was present in the anterior part of the natural lens preoperatively but did not progress during a 10-year follow-up period. With Scheimpflug photography, it was possible to detect a space between the natural lens and the IOL that was not evident on slitlamp examination. Maintenance of space between an IOL and the natural lens appears to be an important factor in preventing cataract formation after PPC IOL implantation.