Femtosecond-Laser–Assisted Cataract Surgery Combined With PanOptix Multifocal Lens Implantation in a Patient With a History of Keratopigmentation: A Case Report and Review of Mid-term Outcomes

PURPOSE: To evaluate femtosecond-laser-assisted cataract surgery combined with the implantation of a PanOptix multifocal intraocular lens (IOL) in a patient with a history of keratopigmentation. METHODS: A 62-year-old female patient sought a permanent change in her eye color. She had no previous history of ocular or systemic diseases and had not undergone any ocular surgery. After the necessary evaluations, a corneal color change was performed using the femtosecond laser aesthetic annular keratopigmentation method. Six months after the keratopigmentation procedure, the patient underwent femtosecond-laser-assisted cataract surgery on both eyes and received the Acrysof PanOptix multifocal IOL. A 3-month follow-up was conducted to assess her vision and refraction. RESULTS: The outcome of the keratopigmentation was completely satisfactory in cosmetic appearance and visual function. In the following months, the patient expressed a desire to stop using glasses for both distance and near vision. At that time, her uncorrected distance visual acuity measured 20/200 in the right eye and 20/70 in the left eye, whereas her best-corrected visual acuity in both eyes was 20/20. Three weeks and 3 months after cataract surgery, her uncorrected distance visual acuity and best-corrected visual acuity in both eyes were recorded at 20/20, and her near visual acuity was assessed at J2. The patient reported no visual disturbances such as glare or halos and expressed complete satisfaction with the surgical outcomes. No complications were observed during or after the surgical procedure. CONCLUSIONS: The results of the present study suggest that integrating keratopigmentation with multifocal IOL implantation could enhance patient satisfaction.