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Reversal of myopic anisometropic amblyopia with phakic intraocular lens implantation
E M Chipont1, P García-Hermosa, J L Alió
1Department of Pediatric Ophthalmology and Refractive Surgery, Universidad Miguel Hernandaz, Alicante, Spain.
Purpose:
To report a case of reversal of myopic anisometropic amblyopia with phakic intraocular lens implantation.
Methods:
A 6-year-old boy with anisometropic amblyopia with spherical equivalent refraction of right eye: -14.00 -3.00 x 100 degrees, left eye: -0.50 -3.25 x 90 degrees, was treated for 2 years with occlusion to the left eye, with poor results. Refractive surgery was planned because of contact lens intolerance at age 8 years. A -15.00-D iris claw Artisan intraocular lens (IOL) was implanted.
Results:
Following surgery, treatment of the amblyopia and spectacle correction of -4.00 D cylinder at 85 degrees in the right eye and -3.50 D cylinder at 90 degrees in the left eye was necessary. Visual acuity 6 months after surgery was 20/25 in the right eye and 20/20 in the left eye, and has remained stable 18 months after surgery.
Conclusion:
Myopic anisometropic amblyopia in an 8-year-old boy was treated successfully with implantation of an Artisan iris claw phakic anterior chamber IOL, combined with occlusion therapy, and resulted in reversal of amblyopia.