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Presumed Unindicated Implantation of Posterior Chamber Phakic Intraocular Lens
Patient: Female, 23-year-old Final Diagnosis: Autosomal recessive cone-rod dystrophy (arCRD) Symptoms: The colors appeared washed out • vision deterioration Clinical Procedure: — Specialty: Ophthalmology OBJECTIVE: Unusual setting of medical care BACKGROUND: Refractive surgery is one of the most fre...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
International Scientific Literature, Inc.
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10316724/ https://www.ncbi.nlm.nih.gov/pubmed/37386760 http://dx.doi.org/10.12659/AJCR.939940 |
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author | Almubaiyd, Alhanoof Mohammed Helayel, Halah Bin Al-Swailem, Samar A. |
author_facet | Almubaiyd, Alhanoof Mohammed Helayel, Halah Bin Al-Swailem, Samar A. |
author_sort | Almubaiyd, Alhanoof Mohammed |
collection | PubMed |
description | Patient: Female, 23-year-old Final Diagnosis: Autosomal recessive cone-rod dystrophy (arCRD) Symptoms: The colors appeared washed out • vision deterioration Clinical Procedure: — Specialty: Ophthalmology OBJECTIVE: Unusual setting of medical care BACKGROUND: Refractive surgery is one of the most frequently performed ocular surgeries worldwide. Implantation of the posterior chamber phakic intraocular lens has advantages over laser vision correction, especially in high refractive error cases. We present a case of a young adult women with poor vision who underwent bilateral posterior chamber phakic intraocular lens explantation due to high vault, shallow anterior chambers, and a picture of cone-rod dystrophy. CASE REPORT: A 23-year-old woman was referred for poor vision following an implantation of bilateral toric implantable collamer lens (ICL) implantation when she was 18 years old for high myopic astigmatism and anisometropia. On presentation, the best corrected visual acuity was 4-6/200 and 2-3/200 in the right eye and left eye, respectively. Slit lamp examination indicated a clear cornea with pigment deposition on the endothelium, high ICL vault, shallow anterior chamber, and bowing of the iris bilaterally. The patient underwent bilateral removal of the ICLs on separate visits, yet the vision remained unchanged. Diagnostics revealed that the patient had bull’s eye maculopathy with atrophy due to her cone-rod dystrophy, which caused the poor vision. CONCLUSIONS: This report emphasizes the need for careful and appropriate patient and intraocular size selection for refractive surgery. It indicates the importance of thorough medical examination, including genetic testing, fundus examination, and optical coherence tomography when retinal dystrophy is suspected. Generally, close follow-up is crucial in the setting of high vaulting following ICL implantation to prevent secondary complications. |
format | Online Article Text |
id | pubmed-10316724 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | International Scientific Literature, Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-103167242023-07-04 Presumed Unindicated Implantation of Posterior Chamber Phakic Intraocular Lens Almubaiyd, Alhanoof Mohammed Helayel, Halah Bin Al-Swailem, Samar A. Am J Case Rep Articles Patient: Female, 23-year-old Final Diagnosis: Autosomal recessive cone-rod dystrophy (arCRD) Symptoms: The colors appeared washed out • vision deterioration Clinical Procedure: — Specialty: Ophthalmology OBJECTIVE: Unusual setting of medical care BACKGROUND: Refractive surgery is one of the most frequently performed ocular surgeries worldwide. Implantation of the posterior chamber phakic intraocular lens has advantages over laser vision correction, especially in high refractive error cases. We present a case of a young adult women with poor vision who underwent bilateral posterior chamber phakic intraocular lens explantation due to high vault, shallow anterior chambers, and a picture of cone-rod dystrophy. CASE REPORT: A 23-year-old woman was referred for poor vision following an implantation of bilateral toric implantable collamer lens (ICL) implantation when she was 18 years old for high myopic astigmatism and anisometropia. On presentation, the best corrected visual acuity was 4-6/200 and 2-3/200 in the right eye and left eye, respectively. Slit lamp examination indicated a clear cornea with pigment deposition on the endothelium, high ICL vault, shallow anterior chamber, and bowing of the iris bilaterally. The patient underwent bilateral removal of the ICLs on separate visits, yet the vision remained unchanged. Diagnostics revealed that the patient had bull’s eye maculopathy with atrophy due to her cone-rod dystrophy, which caused the poor vision. CONCLUSIONS: This report emphasizes the need for careful and appropriate patient and intraocular size selection for refractive surgery. It indicates the importance of thorough medical examination, including genetic testing, fundus examination, and optical coherence tomography when retinal dystrophy is suspected. Generally, close follow-up is crucial in the setting of high vaulting following ICL implantation to prevent secondary complications. International Scientific Literature, Inc. 2023-06-30 /pmc/articles/PMC10316724/ /pubmed/37386760 http://dx.doi.org/10.12659/AJCR.939940 Text en © Am J Case Rep, 2023 https://creativecommons.org/licenses/by-nc-nd/4.0/This work is licensed under Creative Common Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0 (https://creativecommons.org/licenses/by-nc-nd/4.0/) ) |
spellingShingle | Articles Almubaiyd, Alhanoof Mohammed Helayel, Halah Bin Al-Swailem, Samar A. Presumed Unindicated Implantation of Posterior Chamber Phakic Intraocular Lens |
title | Presumed Unindicated Implantation of Posterior Chamber Phakic Intraocular Lens |
title_full | Presumed Unindicated Implantation of Posterior Chamber Phakic Intraocular Lens |
title_fullStr | Presumed Unindicated Implantation of Posterior Chamber Phakic Intraocular Lens |
title_full_unstemmed | Presumed Unindicated Implantation of Posterior Chamber Phakic Intraocular Lens |
title_short | Presumed Unindicated Implantation of Posterior Chamber Phakic Intraocular Lens |
title_sort | presumed unindicated implantation of posterior chamber phakic intraocular lens |
topic | Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10316724/ https://www.ncbi.nlm.nih.gov/pubmed/37386760 http://dx.doi.org/10.12659/AJCR.939940 |
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