Transient anterior subcapsular vacuolar change of the crystalline lens in patients after posterior chamber phakic intraocular lens implantation
نویسندگان
چکیده
BACKGROUND We present two cases of transient vacuolar changes in the anterior subcapsular space of the crystalline lens in patients after posterior chamber phakic intraocular lens implantation. CASE PRESENTATION Implantable collamer lenses (ICL) were implanted in healthy myopic patients. Vacuolar changes developed just after the irrigating procedure through the narrow space between the ICL and the crystalline lens. Slit-lamp examinations and spectral domain optical coherence tomography showed bleb-like lesions in the anterior subcapsular space of one eye in each case, though the lesions gradually improved without visual deterioration. Consequently, the lesions turned into a few anterior subcapsular small faint opacities. CONCLUSION Direct irrigation of the narrow space confined by the ICL and the crystalline lens is at risk for the development of vacuolar changes in the crystalline lens. The observed spontaneous reversal indicates that surgeons should not rush to surgical intervention but rather opt for close follow over several weeks.
منابع مشابه
Bilateral cataract after phakic posterior chamber top hat-style silicone intraocular lens.
BACKGROUND New strategies have been developed for surgical treatment of high myopia. Recently, implantation of minus power posterior chamber intraocular lenses (IOL) into phakic eyes has been introduced. METHODS We report a 37 year-old female patient who developed bilateral anterior subcapsular cataract 7 years after minus-power, top hat-style silicone posterior chamber IOL implantation in Ru...
متن کاملRate of cataract formation in 343 highly myopic eyes after implantation of three types of phakic intraocular lenses.
PURPOSE To assess the feasibility of using phakic intraocular lenses (PIOL) to treat high myopia, and evaluate the incidence of cataract, comparing three different lens types. METHODS From 1989 to 2002, we implanted three different phakic intraocular lenses (PIOL) in 343 eyes of 232 patients; 231 eyes recieved an Ophtec (Worst-Fechner model, iris-claw), 89 an Adatomed (silicone posterior cham...
متن کاملPhakic posterior chamber lenses for high myopia: functional and anatomical outcomes.
PURPOSE To evaluate the functional and the anatomical outcomes after implantation of phakic posterior chamber intraocular lenses (IOLs) in highly myopic eyes. SETTING Service d'Ophtalmologie, Hôpital Purpan, Toulouse, France. METHODS Fifty-eight eyes of 46 patients that had implantation of phakic posterior chamber lenses for high myopia were evaluated. Predictability, efficiency, safety, an...
متن کاملTraumatic Dislocation of Posterior Chamber Phakic Intraocular Lens into the Berger's Space
Dear Editor, Berger’s space is a potential compartment that can present behind the crystalline lens but is not open in normal situations. This space is formed by the posterior lens surface and anterior vitreous face and is circumscribed by Weiger’s ligament [1]. Except for some congenital abnormalities, Berger’s space is rarely involved in ocular disease because of vulnerability of structures s...
متن کاملLong-Term Comparison of Posterior Chamber Phakic Intraocular Lens With and Without a Central Hole (Hole ICL and Conventional ICL) Implantation for Moderate to High Myopia and Myopic Astigmatism
UNLABELLED The study shows a promising next-generation surgical option for the correction of moderate to high ametropia. Hole implantable collamer lens (ICL), STAAR Surgical, is a posterior chamber phakic intraocular lens with a central artificial hole. As yet, however, no long-term comparison of the clinical results of the implantation of ICLs with and without such a hole has hitherto been con...
متن کامل