Premium intraocular lens implantation in eyes with vitrectomy done



Phacoemulsification with premium intraocular lens (IOL) implantation has been increasingly popular in the recent years. However, it is not commonly implanted in eyes who had underwent previous vitrectomy surgery as the contrast sensitivity is thought to be reduced and surgeons are worried about poor visualization of the posterior segment after implantation. Since cataract and vitreoretinal diseases often coexist, premium IOLs should be a considerable option for implantation in carefully selected cases. This study aims at reporting the postoperative near and distance visual acuity and subjective quality of vision in eyes with premium IOLs implantation and vitrectomy done.


Twenty eyes with posterior vitrectomy and premium IOL implantation from 2006 to 2018 were included. Fourteen eyes were included in Group 1 with patients who underwent a combined phacovitrectomy surgery in the same setting, and six eyes were included in Group 2 with patients who received premium IOL implantation after previous posterior vitrectomy.


Both the postoperative corrected distance and near visual acuity at 1 month, 3 month and 1 year are improved in both groups. The subjective quality of vision as graded by the National Eye Institute Refractive Error Quality of Life Instrument-42 questionnaire also showed high patient satisfaction in both groups.


We conclude that the presence of a multifocal IOL does not impede visualization of the posterior segment during vitrectomy surgery and surgical complications were not raised. With careful patient selection and preoperative assessment, premium IOLs can be a considerable option in patients requiring posterior vitrectomy.

Trial registration

Retrospectively registered with the HKSH Medical Group Research Committee (Ref No. RC-2019-31, Date of registration: December 13, 2019).

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Fig. 1

Availability of data and materials/code

The datasets used and/or analyzed during the current study are available from the corresponding author on reasonable request.



Intraocular lens


National Eye Institute Refractive Error Quality of Life Instrument-42


Right eye


Left eye


Posterior vitreous detachment


Epiretinal membrane


Vitreous hemorrhage


Retinal detachment


Visual acuity


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All authors contributed to the study conception and design. Material preparation, data collection and analysis were performed by CLLW and KKHA. The first draft of the manuscript was written by CLLW and NFSK, and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Lok Wan Loraine Chow.

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There are no conflicts of interest involved in this research study.

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Ethics approval was obtained with the HKSH Medical Group Research Committee. All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

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Informed consent was obtained from all individual participants included in the study.

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Chow, L.W.L., Fung, N.S.K. & Kwok, K.H.A. Premium intraocular lens implantation in eyes with vitrectomy done. Int Ophthalmol (2020).

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  • Premium intraocular lens
  • Phacoemulsification
  • Vitrectomy
  • Phacovitrectomy surgery