Long-term follow-up of epikeratophakia.

We report a 28-year follow-up of epikeratophakia surgery after extracapsular extraction of a congenital cataract. The patient's ocular history included the diagnosis of bilateral cortical congenital cataracts at 2 years of age, which was more severe in the right eye than in the left. One year later, the visual acuity in the right eye progressively worsened, and extracapsular cataract extraction without intraocular lens implantation was performed. After contact lens fitting failed, an epikeratophakia procedure was performed in the right eye. Twenty-eight years after the procedure, the patient was referred to Bascom Palmer Eye Institute for progressive loss of visual acuity in the left eye. It was discovered that the right eye had remained stable; the corrected distance visual acuity was 20/30 with a manifest refraction of −8.75 + 0.50 × 105.