Late postoperative complications of backward implantation of a Vivarte phakic intraocular lens

Hugo van Cleynenbreugel

Research output: Contribution to journalArticleProfessionalpeer-review

Abstract

A 34-year-old man had bilateral implantation of a Vivarte phakic intraocular lens (pIOL) (Ciba Vision) to correct high myopia. Postoperatively, both pIOLs appeared to have been implanted backward. After a few weeks, the position of the pIOL in the right eye was corrected in a second procedure. For unknown reasons, the pIOL in the left eye was untouched. Three years after the initial implantation, the patient visited our hospital for a second opinion. He presented with a decrease in visual acuity from an intrapupillary membrane in the left eye. Endothelial cell count of the left cornea showed markedly decreased endothelial cell density. The patient was successfully treated by removing the IOL and excising the intrapupillary membrane, leading to recovery of visual acuity. This case presents the rare occurrence and management of late postoperative complications of backward implantation of a Vivarte pIOL.

Original languageEnglish
Pages (from-to)1474-6
Number of pages3
JournalJournal of Cataract and Refractive Surgery
Volume33
Issue number8
DOIs
Publication statusPublished - Aug 2007

Keywords

  • Adult
  • Anterior Chamber/surgery
  • Cell Count
  • Corneal Diseases/etiology
  • Device Removal
  • Endothelium, Corneal/pathology
  • Humans
  • Lens Implantation, Intraocular/adverse effects
  • Lens, Crystalline/physiology
  • Lenses, Intraocular
  • Male
  • Membranes
  • Myopia/surgery
  • Postoperative Complications
  • Pupil Disorders/etiology
  • Vision Disorders/etiology

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