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Iris-Fixated PMMA Phakic IOL Explantation During Cataract Surgery

Beeran Meghpara, MD

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Beeran Meghpara, MD, discusses the case of a patient he observed for several years who had an iris-fixated PMMA phakic IOL, a progressively declining corneal endothelial cell density, and symptoms of cataract development. He describes his surgical approach to safely explanting the rigid, nonfoldable lens through a sutured superior scleral tunnel while protecting the compromised cornea. Cataract extraction was then performed through a separate temporal incision with a modified stop-and-chop technique.

Posted: 6/30/2026

Keywords:

IOL

•

phakic

•

Iris-Fixated

•

corneal endothelial cell density

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Back to All Videos

Iris-Fixated PMMA Phakic IOL Explantation During Cataract Surgery

Beeran Meghpara, MD

Beeran Meghpara, MD, discusses the case of a patient he observed for several years who had an iris-fixated PMMA phakic IOL, a progressively declining corneal endothelial cell density, and symptoms of cataract development. He describes his surgical approach to safely explanting the rigid, nonfoldable lens through a sutured superior scleral tunnel while protecting the compromised cornea. Cataract extraction was then performed through a separate temporal incision with a modified stop-and-chop technique.

Posted: 6/30/2026

Keywords:

IOL

•

phakic

•

Iris-Fixated

•

corneal endothelial cell density

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