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Phakic intraocular lens (PIOL) implantation is a suitable method to correct ametropia, especially high myopia. PIOLs are available in different shapes, designs, and materials. They also have different efficacy and safety profiles. I-CARE phakic IOL by Cornéal is a one-piece foldable hydrophilic lens made of acrylic. It has a footplate haptic design. Short-term studies were promising as they proved the efficacy of the lens. However, Long-term studies revealed that the lens is associated with endothelial cell loss and other adverse effects. Alcon Vivity® IOL utilizes non-diffractive wavefront-shaping elements located on the anterior surface of the IOL to create advanced and delayed wavefronts resulting in a continuous extended focal range instead of multiple focal points. Case description: A 60-year-old patient came to our clinics with blurred vision. The patient underwent bilateral I-CARE lens implantation 14 years ago. The endothelial cell count was around 1000 cells/mm2 in each eye. The visual acuity was 0.32 in the right eye and 0.5 in the left eye. Therefore, we decided to remove the I-CARE lens and perform cataract surgery with Alcon Vivity® lens implantation. 0:00 Intro 0:34 Opening the incisions 2:01 I-CARE phakic IOL removal 2:57 Capsulerhexis 3:34 Hydro-dissection and hydro-delineation 3:57 Lens removal 5:44 Posterior capsule polishing 6:20 Bimanual cortex removal 7:20 Vivity implantation 7:35 Viscoelastic removal 8:22 Vivity IOL 8:48 Wounds closure I-CARE, icare lens, phakic IOL, PIOL, PIOLs, presbyopia, Vivity, EDOF lens, cataract surgery, cataract, extended depth of focus, EDOF, Alcon Vivity, cataract surgery procedure, lens, Katarakt, Grauer Star, eye surgery, intraocular lens, phacoemulsification, dr. med. (Univ. Bud.) Matthias Gerl, grauer star op, grauer star operation #phakic_iol #presbyopia #vivity #edof_lens #cataract_surgery #phacoemulsification #cataract #Lens #eye_surgery #ophthalmology