A revista einstein (São Paulo) - e-ISSN 2317-6385 é dedicada à divulgação de conteúdo científico de alta qualidade para o avanço da nossa compreensão das doenças humanas e com o objetivo de melhorar a prevenção, o cuidado, o diagnóstico e o tratamento de pacientes em todo o mundo.
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, maio. 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/pt-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