A case report of implantable collamer lens removal with cataract extraction and TECNIS Symfony extended range of vision intraocular lens (ZXR00) implantation
Abstract Background Anterior subcapsular cataract (ASC) is a leading complication of implantable collamer lens (ICL) implantation and a common indication for secondary ICL removal. However, the visual outcomes of combined ICL explantation, cataract extraction, and implantation of a TECNIS Symfony ZX...
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BMC
2025-05-01
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| Series: | BMC Ophthalmology |
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| Online Access: | https://doi.org/10.1186/s12886-025-04106-8 |
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| author | Peilin Yue Enjie Li Zhenyu Wang Xudong Song |
| author_facet | Peilin Yue Enjie Li Zhenyu Wang Xudong Song |
| author_sort | Peilin Yue |
| collection | DOAJ |
| description | Abstract Background Anterior subcapsular cataract (ASC) is a leading complication of implantable collamer lens (ICL) implantation and a common indication for secondary ICL removal. However, the visual outcomes of combined ICL explantation, cataract extraction, and implantation of a TECNIS Symfony ZXR00 IOL with a targeted myopic shift (-0.50D to -0.75D) remain uncertain in highly myopic patients with prior ICL and photorefractive keratectomy (PRK) surgeries. Case presentation A 39-year-old male highly myopic patient who underwent concurrent ICL removal, phacoemulsification, and TECNIS Symfony ZXR00 IOL implantation in both eyes, spaced two weeks apart, is reported in this case. Surgical planning prioritized spectacle independence, occupational visual needs, and the IOL’s optical properties, with a deliberate residual myopic refraction (-0.50D to -0.75D). At the 3-month follow-up, comprehensive evaluation was conducted, included manifest refraction, anterior segment OCT (Casia2), defocus curves, OPD-Scan III, and the NEI-VFQ-14 questionnaire. The patient achieved excellent near and intermediate vision, high overall optical quality, and reported exceptional satisfaction. Conclusion For patients developing ASC post-ICL implantation, particularly those with strong preferences for spectacle independence and specific visual demands, the TECNIS Symfony ZXR00 IOL, combined with optimized residual myopia, may provide outstanding visual performance and patient satisfaction. |
| format | Article |
| id | doaj-art-bb03c778674a4a6fa10876fdd7003e83 |
| institution | DOAJ |
| issn | 1471-2415 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | BMC |
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| series | BMC Ophthalmology |
| spelling | doaj-art-bb03c778674a4a6fa10876fdd7003e832025-08-20T03:09:35ZengBMCBMC Ophthalmology1471-24152025-05-012511710.1186/s12886-025-04106-8A case report of implantable collamer lens removal with cataract extraction and TECNIS Symfony extended range of vision intraocular lens (ZXR00) implantationPeilin Yue0Enjie Li1Zhenyu Wang2Xudong Song3Beijing Ophthalmology & Visual Science Key Lab, Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical UniversityBeijing Ophthalmology & Visual Science Key Lab, Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical UniversityBeijing Ophthalmology & Visual Science Key Lab, Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical UniversityBeijing Ophthalmology & Visual Science Key Lab, Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical UniversityAbstract Background Anterior subcapsular cataract (ASC) is a leading complication of implantable collamer lens (ICL) implantation and a common indication for secondary ICL removal. However, the visual outcomes of combined ICL explantation, cataract extraction, and implantation of a TECNIS Symfony ZXR00 IOL with a targeted myopic shift (-0.50D to -0.75D) remain uncertain in highly myopic patients with prior ICL and photorefractive keratectomy (PRK) surgeries. Case presentation A 39-year-old male highly myopic patient who underwent concurrent ICL removal, phacoemulsification, and TECNIS Symfony ZXR00 IOL implantation in both eyes, spaced two weeks apart, is reported in this case. Surgical planning prioritized spectacle independence, occupational visual needs, and the IOL’s optical properties, with a deliberate residual myopic refraction (-0.50D to -0.75D). At the 3-month follow-up, comprehensive evaluation was conducted, included manifest refraction, anterior segment OCT (Casia2), defocus curves, OPD-Scan III, and the NEI-VFQ-14 questionnaire. The patient achieved excellent near and intermediate vision, high overall optical quality, and reported exceptional satisfaction. Conclusion For patients developing ASC post-ICL implantation, particularly those with strong preferences for spectacle independence and specific visual demands, the TECNIS Symfony ZXR00 IOL, combined with optimized residual myopia, may provide outstanding visual performance and patient satisfaction.https://doi.org/10.1186/s12886-025-04106-8Secondary cataractImplantable collamer lensMultifocal intraocular lensHigh myopiaCase report |
| spellingShingle | Peilin Yue Enjie Li Zhenyu Wang Xudong Song A case report of implantable collamer lens removal with cataract extraction and TECNIS Symfony extended range of vision intraocular lens (ZXR00) implantation BMC Ophthalmology Secondary cataract Implantable collamer lens Multifocal intraocular lens High myopia Case report |
| title | A case report of implantable collamer lens removal with cataract extraction and TECNIS Symfony extended range of vision intraocular lens (ZXR00) implantation |
| title_full | A case report of implantable collamer lens removal with cataract extraction and TECNIS Symfony extended range of vision intraocular lens (ZXR00) implantation |
| title_fullStr | A case report of implantable collamer lens removal with cataract extraction and TECNIS Symfony extended range of vision intraocular lens (ZXR00) implantation |
| title_full_unstemmed | A case report of implantable collamer lens removal with cataract extraction and TECNIS Symfony extended range of vision intraocular lens (ZXR00) implantation |
| title_short | A case report of implantable collamer lens removal with cataract extraction and TECNIS Symfony extended range of vision intraocular lens (ZXR00) implantation |
| title_sort | case report of implantable collamer lens removal with cataract extraction and tecnis symfony extended range of vision intraocular lens zxr00 implantation |
| topic | Secondary cataract Implantable collamer lens Multifocal intraocular lens High myopia Case report |
| url | https://doi.org/10.1186/s12886-025-04106-8 |
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