Lacquer cracks developing after phakic intraocular lens implantation.
Journal of Refractive Surgery (Thorofare, N.J. : 1995)
|August 2, 2014
Summary
Phakic intraocular lens implantation can lead to lacquer crack formation and macular hemorrhage. Prompt treatment with intravitreal bevacizumab resulted in resolution of symptoms and imaging evidence of lacquer cracks.
Area of Science:
- Ophthalmology
- Retinal Imaging
Background:
- Phakic intraocular lens (IOL) implantation is a refractive surgery procedure.
- Extreme myopia can predispose individuals to various retinal complications.
Observation:
- A patient with extreme myopia experienced decreased vision and a central scotoma post-phakic IOL implantation.
- Ocular examination revealed macular hemorrhage and potential lacquer crack formation, not present preoperatively.
Findings:
- Intravitreal bevacizumab treatment led to resolution of the hemorrhagic pigment epithelial detachment.
- Post-treatment imaging confirmed the development of lacquer cracks in the macula.
Implications:
- This case highlights a potential complication of phakic IOL implantation, specifically lacquer crack formation.
- Early diagnosis and intervention may be crucial for managing visual disturbances after phakic IOL surgery.
