Refractory intraocular pressure increase after phakic posterior chamber intraocular lens implantation
César A Sánchez-Galeana, David Zadok, Miguel Montes, Arturo S Chayet, Marco A Cortés.
PURPOSE:
To describe a complication resulting from the implantation of a posterior chamber intraocular lens in a phakic eye.
DESIGN:
Interventional case report.
METHODS:
We examined a 37-year-old woman with severe myopia who had implantation of a phakic posterior chamber intraocular lens.
RESULTS:
The patient developed pigmentary glaucoma with refractory increase in intraocular pressure, despitemedical therapy and intraocular lens removal. Trabeculectomy was required to reduce the pressure.
CONCLUSIONS:
This case demonstrates that pigmentary glaucoma secondary to implantation of a phakic posterior chamber intraocular lens can lead to filtering surgery to decrease intraocular pressure.