Sequential pars plana vitrectomy and cataract extraction with intraocular lens implantation in patient with corneal inlay who developed retinal detachment followed by cataract.

Twenty-one months after successful small-aperture corneal inlay (Kamra) implantation simultaneous with myopic laser in situ keratomileusis, a patient presented with a superior rhegmatogenous macula-involving retinal detachment. Successful pars plana vitrectomy, transscleral cryotherapy, and gas tamponade were performed with the inlay in situ. Three months later, uneventful phacoemulsification and posterior chamber intraocular lens implantation were performed, also with the inlay in situ, for a visually significant cataract. Visualization of the central and peripheral retina and the anterior segment was possible in both procedures through the central aperture and around the periphery of the inlay. An indirect noncontact visualization system was helpful in the retinal surgery, and rotating the eye was helpful in both surgeries if the inlay blocked visualization.