2004
DOI: 10.1016/j.jcrs.2003.08.012
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Long-term complications of bilateral posterior chamber phakic intraocular lens implantation

Abstract: A 34-year-old woman had posterior chamber phakic intraocular lens (PCP IOL) implantation to correct high myopia in both eyes. Five years postoperatively, the patient presented with a decrease in visual acuity from central anterior subcapsular cataract formation in both eyes and IOL dislocation in the left eye. In vivo confocal microscopy of the cornea showed markedly decreased endothelial cell density in both eyes and the presence of bright endothelial microdeposits possibly related to pigmentary dispersion. G… Show more

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Cited by 24 publications
(17 citation statements)
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“…Several severe complications have presented with phakic intraocular lens (pIOL) implantation in both anterior chamber and posterior chamber models, including pupil ovalization [1], corneal decompensation [2, 3], glaucoma, cataract formation [4, 5], dislocation to the vitreous cavity [6] and retinal detachment [7]. …”
Section: Introductionmentioning
confidence: 99%
“…Several severe complications have presented with phakic intraocular lens (pIOL) implantation in both anterior chamber and posterior chamber models, including pupil ovalization [1], corneal decompensation [2, 3], glaucoma, cataract formation [4, 5], dislocation to the vitreous cavity [6] and retinal detachment [7]. …”
Section: Introductionmentioning
confidence: 99%
“…3,4 An undersized IOL can cause cataract or damage the zonules when the PC pIOL dislocates. 5,6 Because PC pIOL diameters vary in magnitudes of 0.25 mm or 0.50 mm, precise measurement of the ciliary sulcus-to-sulcus (STS) diameter helps determine the optimum PC pIOL size, which might decrease the incidence of postoperative complications.…”
mentioning
confidence: 99%
“…6,7 Posterior chamber phakic IOLs have recently been approved by the US Food and Drug Administration using a sizing criteria of adding 0.50 mm to the white-to-white in eyes where the anterior chamber depth (ACD) was 2.80 to 3.50 mm, and adding 1.00 mm to the white-to-white in eyes where the ACD was >3.50 mm 7. Similar to anterior chamber phakic IOLs, the common theme regarding postoperative complications of posterior chamber phakic IOL surgery is that of lens sizing—an oversized lens can cause angle closure leading to malignant glaucoma8,9 or the lens can chafe the iris leading to pigment dispersion10-12; an undersized lens can cause cataract12-15 or damage to the zonules with dislocation of the phakic IOL 12,16…”
mentioning
confidence: 99%