Abstract
<br>A 27-year-old female presented with defective vision in her right eye for the past 6 months. Her presenting visual acuity was 4/60. She had a history of axial myopia since childhood. She underwent Phakic IOL surgery 3 years prior. On clinical examination, there was a patent peripheral iridotomy with an underlying focal anterior capsular and a subcapsular cataract with a posterior subcapsular component. She was scheduled for removal of the phakic IOL and phacoemulsification of the cataractous lens with implantation of a multipiece monofocal lens. The postoperative UDVA was 6/9, and the near visual acuity was N8. The patient had persistent good vision for the first postoperative year.<br>
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