The journal einstein (São Paulo) – e-ISSN 2317-6385 is dedicated to dissemination of high-quality scientific content that advances our understanding of human disease with the goal of improving prevention, care, diagnostics and treatment of patients globally.
We report a case of a highly myopic patient with a single functional eye, previously vitrectomized, and implanted with an anterior chamber phakic intraocular lens (Artisan®), who underwent phacoemulsification with phakic lens explantation and posterior chamber intraocular lens implantation. The case illustrates the surgical challenges and highlights the importance of individualized planning in patients with multiple prior interventions and at high risk of complications.
Phacoemulsification in a highly myopic, single-seeing, post-vitrectomized eye with an anterior chamber phakic intraocular lens: a surgical challenge
KimRB, VerginassiDM, EngelbrechtC, LottenbergCL. Phacoemulsification in a highly myopic, single-seeing, post-vitrectomized eye with an anterior chamber phakic intraocular lens: a surgical challenge. einstein (Sao Paulo). 2026;24:eRC2213. https://doi.org/10.31744/einstein_journal/2026RC2213
Kim,Raquel Byel; Verginassi,Diego Monteiro; Engelbrecht,Carolina; Lottenberg,Cláudio Luiz. Phacoemulsification in a highly myopic, single-seeing, post-vitrectomized eye with an anterior chamber phakic intraocular lens: a surgical challenge. einstein (Sao Paulo)., v. 24, eRC2213, May. 2026. https://doi.org/10.31744/einstein_journal/2026RC2213
Kim,R.B., Verginassi,D.M., Engelbrecht,C., & Lottenberg,C.L. (2026). Phacoemulsification in a highly myopic, single-seeing, post-vitrectomized eye with an anterior chamber phakic intraocular lens: a surgical challenge. einstein (Sao Paulo).,24, eRC2213. https://doi.org/10.31744/einstein_journal/2026RC2213
Kim,Raquel Byel and Verginassi,Diego Monteiro and Engelbrecht,Carolina and Lottenberg,Cláudio Luiz. Phacoemulsification in a highly myopic, single-seeing, post-vitrectomized eye with an anterior chamber phakic intraocular lens: a surgical challenge. einstein (Sao Paulo). [online]. 2026, vol. 24, [cited 2026-05-07], eRC2213. Available from: <https://journal.einstein.br/article/phacoemulsification-in-a-highly-myopic-single-seeing-post-vitrectomized-eye-with-an-anterior-chamber-phakic-intraocular-lens-a-surgical-challenge/>. ISSN 1679-4508. https://doi.org/10.31744/einstein_journal/2026RC2213
Figure 2
Macular optical coherence tomography and fundus photograph of the left eye showing intra- and subretinal fluid consistent with a myopic choroidal neovascular membrane
Macular optical coherence tomography and fundus photograph of the left eye showing intra- and subretinal fluid consistent with a myopic choroidal neovascular membrane