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Refractory intraocular pressure increase after phakic posterior chamber intraocular lens implantation
César A Sánchez-Galeana1, David Zadok, Miguel Montes
1CODET Aris Vision Institute, Tijuana Baja California, Mexico.
Purpose:
To describe a complication resulting from the implantation of a posterior chamber intraocular lens in a phakic eye.
Design:
Interventional case report.
Methods:
We examined a 37-year-old woman with severe myopia who had implantation of a phakic posterior chamber intraocular lens.
Results:
The patient developed pigmentary glaucoma with refractory increase in intraocular pressure, despitemedical therapy and intraocular lens removal. Trabeculectomy was required to reduce the pressure.
Conclusion:
This case demonstrates that pigmentary glaucoma secondary to implantation of a phakic posterior chamber intraocular lens can lead to filtering surgery to decrease intraocular pressure.