Creeping posterior synechiae following hyperopic iris-fixated phakic implants.

Abstract:

:The purpose of this study was to report on the occurrence and management of posterior synechiae (PS) in three hyperopic eyes after iris-fixated anterior chamber phakic IOL implantation. This is a case report of a 55-year-old man and a 55-year-old lady who had undergone iris-fixated anterior chamber phakic IOL implantation to correct hyperopic astigmatism (one eye) and hyperopia (both eyes), respectively. The three eyes developed creeping PS and pigment dispersion within 4-6 weeks of surgery. Synechiolysis and pupil stretching in one eye did not work as the synechiae promptly recurred. Definitive management in the form of removal of the phakic implant and phacoemulsification with lens implant was successful in restoring normal vision in all three eyes. Although implantation of phakic intraocular lenses has been reported to be very effective for the correction of moderate to high degrees of ametropia, this complication can occur in hyperopic eyes. Pigment dispersion has been reported in myopic eyes also, but PS seem to be more an issue with hyperopic eyes. Age of the patient may also be a factor. This information is important in the selection and counselling of patients.

journal_name

Int Ophthalmol

authors

Messina M,Elalfy M,Fares U,Ghoz N,Mavi B,Dua H

doi

10.1007/s10792-016-0202-y

subject

Has Abstract

pub_date

2016-12-01 00:00:00

pages

901-905

issue

6

eissn

0165-5701

issn

1573-2630

pii

10.1007/s10792-016-0202-y

journal_volume

36

pub_type

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