Outcomes at three years, as reported by Huang et al for the American Academy of Ophthalmology
Complications
Endothelial cell damage and decompensation
Chronic inflammation
Angle scarring
Pigment dispersion (PCIOLs)
Iris atrophy
Pupillary block: ppx LPI 90 degrees apart
Cataracts
Endophthalmitis
Case Management
Was unable to obtain HMO approval for in-clinic LPI in a timely manner
Underwent same-day phakic IOL repositioning with surgical iridectomy OS
Figure 2: Phakic IOL repositioning with surgical iridectomy OS.
Post-op week 1:
BCVA 20/70 OS; IOP 15 OS
Lens haptics found covering surgical iridectomy
Considered LPI but iris was spastic and dilated post-op
Post-op month 1, IOP elevated to 38
Patient underwent phakic IOL extraction and given state of pregnancy, will defer further IOL placements to a later date
References
Alio, Jorge et al. Follow-up Study of More than 15 years of an Angle-Supported Phakic Intraocular Lens Model (ZB5M) for High Myopia. Outcomes and Complications. JAMA Ophthalmology 131 (12), 2013.
Allan, Barsam. Excimer Laser Refractive Surgery versus Phakic Intraocular Lenses for the Correction of Moderate to High Myopia (Review)”. Cochrane Database Syst Rev. Jan 18; 1:CD007679, 2012.
Huang, D et al. Phakic Intraocular Lens Implantation for the Correction of Myopia. A report by the American Academy of Ophthalmology. Ophthalmology Nov; 116 (11): 2244-58, 2009.
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