Implantation of multiple foldable acrylic posterior chamber lenses in the capsular bag for high hyperopia

This case series describes the implantation of multiple acrylic intraocular lenses (IOLs) in the capsular bag of six eyes of three highly hyperopic patients (spherical equivalent +5.75 to +8.62) during cataract surgery. Two foldable acrylic lenses were placed in the capsular bag of each eye. Preoperative best corrected visual acuity (BCVA) ranged from 20/50 to 20/300. Postoperative uncorrected visual acuity ranged from 20/25 to 20/60, while BCVA ranged from 20/25 to 20/40. Multiple acrylic lenses were used successfully in cases in which a single IOL would have given inadequate correction.