Stability and visual outcomes of an anterior capsule fixated presbyopia-correcting IOL in a young patient with posterior polar cataract and pre-existing PC dehiscence

A 31-year-old male patient with bilateral congenital posterior polar cataract and pre-existing PC dehiscence, keen on spectacle independence, underwent cataract surgery. FEMTIS Mplus IOL was implanted with anterior capsular fixation in both eyes, with a toric IOL in the left eye. Visual outcomes were assessed on postop days 1 and 15 and 3 months. On postop day 1, the uncorrected visual acuity in both eyes was 20/20, improving to 20/16 on day 15, with an uncorrected near vision of N5. No IOL rotation was observed in the left eye. The intermediate vision (60, 80 cm) was 0.1 Logmar equivalent with good mesopic contrast sensitivity (at 1.5, 3, 6, 12, 18 cpd OD: 6, 5, 4, 2, 1; OS: 6, 5, 3, 2, 1, respectively). Anterior capsular fixated IOL gives excellent visual outcomes with good stability and can be a solution for spectacle independence in patients with complex cataracts and intraoperative complications like posterior capsular rent.