Abstract
The development of retinal detachment is reported in three eyes, of two patients, following implantation of an anterior chamber intraocular lens (AC-IOL) in phakic eyes for the correction of ultra-high myopia. The presence of an AC-IOL may hamper the identification of retinal breaks and removal of the intraocular lens may prove necessary to improve visualisation. Shallowing of the anterior chamber may also occur during, or following, vitreoretinal surgery with risk of endothelial contact. The risks and relative contraindications of AC-IOL implantation into phakic eyes are discussed.
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- BARRAQUER J. Anterior chamber plastic lenses. Results of and conclusions from five years' experience. Trans Ophthalmol Soc U K. 1959;79:393–424. [PubMed] [Google Scholar]
- Baikoff G. Phakic anterior chamber intraocular lenses. Int Ophthalmol Clin. 1991 Winter;31(1):75–86. doi: 10.1097/00004397-199103110-00011. [DOI] [PubMed] [Google Scholar]
- Byer N. E. Lattice degeneration of the retina. Surv Ophthalmol. 1979 Jan-Feb;23(4):213–248. doi: 10.1016/0039-6257(79)90048-1. [DOI] [PubMed] [Google Scholar]
- Fechner P. U., Strobel J., Wichmann W. Correction of myopia by implantation of a concave Worst-iris claw lens into phakic eyes. Refract Corneal Surg. 1991 Jul-Aug;7(4):286–298. [PubMed] [Google Scholar]
- Fechner P. U., van der Heijde G. L., Worst J. G. The correction of myopia by lens implantation into phakic eyes. Am J Ophthalmol. 1989 Jun 15;107(6):659–663. doi: 10.1016/0002-9394(89)90264-x. [DOI] [PubMed] [Google Scholar]
- Gartry D. S., Kerr Muir M. G., Marshall J. Excimer laser photorefractive keratectomy. 18-month follow-up. Ophthalmology. 1992 Aug;99(8):1209–1219. doi: 10.1016/s0161-6420(92)31821-4. [DOI] [PubMed] [Google Scholar]
- Mimouni F., Colin J., Koffi V., Bonnet P. Damage to the corneal endothelium from anterior chamber intraocular lenses in phakic myopic eyes. Refract Corneal Surg. 1991 Jul-Aug;7(4):277–281. [PubMed] [Google Scholar]
- Praeger D. L. Innovations and creativity in contemporary ophthalmology: preliminary experience with the phakic myopic intraocular lens. Ann Ophthalmol. 1988 Dec;20(12):456–462. [PubMed] [Google Scholar]
- Rosen P. H., Wong H. C., McLeod D. Indentation microsurgery: internal searching for retinal breaks. Eye (Lond) 1989;3(Pt 3):277–281. doi: 10.1038/eye.1989.38. [DOI] [PubMed] [Google Scholar]
- Saragoussi J. J., Cotinat J., Renard G., Savoldelli M., Abenhaim A., Pouliquen Y. Damage to the corneal endothelium by minus power anterior chamber intraocular lenses. Refract Corneal Surg. 1991 Jul-Aug;7(4):282–285. [PubMed] [Google Scholar]
- Schepens C. L., Marden D. Data on the natural history of retinal detachment. Further characterization of certain unilateral nontraumatic cases. Am J Ophthalmol. 1966 Feb;61(2):213–226. doi: 10.1016/0002-9394(66)90274-1. [DOI] [PubMed] [Google Scholar]
- Waring G. O., 3rd, Lynn M. J., Nizam A., Kutner M. H., Cowden J. W., Culbertson W., Laibson P. R., McDonald M. B., Nelson J. D., Obstbaum S. A. Results of the Prospective Evaluation of Radial Keratotomy (PERK) Study five years after surgery. The Perk Study Group. Ophthalmology. 1991 Aug;98(8):1164–1176. doi: 10.1016/s0161-6420(91)32156-0. [DOI] [PubMed] [Google Scholar]

