Phacomorphic glaucoma in a high myope with phakic intraocular lens
Talvir Sidhu1, Arjun Desai1, Meghal Gagrani1
1Department of Ophthalmology, Dr Rajendra Prasad Centre for Ophthalmic Sciences, AIIMS, Delhi, New Delhi, India.
BMJ Case Reports
|February 27, 2019
Summary
A high myopia patient with a phakic intraocular lens (pIOL) experienced sudden vision loss. Treatment involved managing glaucoma and explanting the pIOL.
Area of Science:
- Ophthalmology
- Glaucoma Research
- Intraocular Lens Technology
Background:
- A young woman with high myopia and a history of phakic intraocular lens (pIOL) implantation in her right eye presented with acute vision loss.
- Her left eye had previously lost light perception, making the right eye critically important for vision.
Observation:
- The patient reported sudden, painful vision decline in the right eye post-laser treatment.
- Examination revealed the pIOL was touching the corneal endothelium, indicative of potential complications.
Findings:
- Diagnosis included lens-induced secondary angle closure glaucoma in the right eye.
- The left eye was diagnosed with atrophic bulbi.
Implications:
- This case highlights the importance of monitoring pIOLs for endothelial touch and secondary glaucoma.
- Prompt surgical intervention, including pIOL explantation and cataract removal, is crucial for vision salvage.
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