In adult patients with RAE, treatment of the refractive error using hyperopic LASIK was safe and effective and corrected the esodeviation. Further studies in younger patients will help determine the age at which this intervention may be indicated.

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PURPOSE: To report two cases of zonular dehiscence two years after phakic refractive lens (PRL) implantation. METHODS: In case 1, a 31-year-old myopic patient with refraction of -12.75 diopters (D) in the right eye and -20.50 D in the left eye, a 12 -mm white-to-white measurement, and anterior chamber depth (ACD) of 3.7 mm underwent implantation of a -11.0 D and a -15.5 D PRL-101. Two years after surgery, a temporal-superior PRL decentration was observed in the left eye. In case 2, a 48-year-old pseudophakic patient with refraction of +8 -2.5 × 20° underwent implantation of a piggyback PRL-200. Two years after surgery, an inferior PRL decentration was observed. RESULTS: The PRL was explanted in both cases. A zonular dehiscence was found-temporal-superior in case 1 and inferior in case 2. CONCLUSIONS: We have stopped implanting PRLs for the present time as the cause of this complication has yet to be determined. [J Refract Surg. 2005;21:13-17.]

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