Long-term Complications of Posterior Chamber Phakic Refractive Lenses: Case Report and Literature Review

Abstract

This article presents two cases of phakic refractive lens (PRL) complications in China. Case 1 presents a highly myopic patient with PRL's footplate partly subluxated into the anterior chamber by blunt trauma one-year after implantation. The PRL was repositioned successfully without other complications. Case 2 represents a case of pigment dispersion glaucoma that developed seven years after PRL implantation. Intraocular pressure (IOP) lowering therapy was initiated and the IOP continued to be in the normal range for both affected eyes with ongoing follow-up. In summary, a comprehensive ophthalmic evaluation is essential to optimize both patient and PRL selection to minimize the risk of potential complications and PRL implantation warrants long-term follow-up.