Primary Intracapsular Polypseudophakia With Posterior Capsulotomy Optic Capture in a Nanophthalmic Eye

Abstract

PURPOSE: To describe a novel technique for primary intracapsular polypseudophakia performed on a pediatric patient with unilateral posterior polar cataract in a nanophthalmic eye. METHODS: Phacoemulsification combined with primary posterior capsulotomy, anterior vitrectomy, and primary intracapsular polypseudophakia was performed to attain full refractive correction, resulting in a piggyback one-piece intraocular lens (IOL) in the capsular bag with posterior optic capture of an underlying three-piece IOL. RESULTS: There were no intraoperative or postoperative complications. By 2 months postoperatively, uncorrected distance visual acuity of 20/50 was achieved (secondary to amblyopia) with plano manifest refraction. CONCLUSIONS: This case demonstrates a useful technique in nanophthalmic or hypermetropic eyes for which alternative methods of correcting residual postoperative refractive error may be suboptimal. [ Journal of Refractive Surgery Case Reports . 2022;2(1):e14–e17.]