Hyperopia shift in the long term after cataract surgery: a case report.

Background: Long-term hyperopia shift is a rare complication following cataract surgery, presenting significant clinical challenges in analysis and management.

Case presentation: A 52-year-old female with a history of high myopia and laser-assisted in-situ keratomileusis (LASIK) surgery presented with decreased vision in her left eye at the very fifth year after cataract surgery. The spherical equivalent in her left eye had increased to + 6.63 D. After thorough evaluation, the patient underwent secondary piggyback intraocular lens (IOL) implantation in the ciliary sulcus, resulting in high satisfaction.

Conclusions: This case of long-term hyperopia shift following cataract and LASIK surgeries provides valuable insights into potential etiologies and interventions for this uncommon complication.