Femtosecond Laser-Assisted Cataract Surgery in a Cataractous Eye With Implantable Collamer Lens In Situ.

PURPOSE: To describe a 43-year-old man who presented with a nuclear cataract in the right eye after a previous collamer lens (Visian Implantable Collamer Lens [ICL]; STAAR Surgical, Monrovia, CA) implantation procedure. METHODS: Case report. RESULTS: Before the ICL was removed, femtosecond-laser-assisted capsulotomy, crystalline lens fragmentation, and limbal relaxing incisions were performed sequentially. After explantation of the ICL, the phacoemulsification procedure was performed simultaneously with intraocular lens implantation. CONCLUSIONS: Femtosecond laser-assisted cataract surgery can be done in an eye with previous ICL implantation, but may prove to be more challenging than routine cases without an ICL in situ.