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Refractory intraocular pressure increase after phakic posterior chamber intraocular lens implantation

2002; Elsevier BV; Volume: 134; Issue: 1 Linguagem: Inglês

10.1016/s0002-9394(02)01414-9

1879-1891

C A Sánchez-Galeana, David Zadok, Miguel Montes, Marco A. Cortes, Arturo Chayet,

Glaucoma and retinal disorders

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. CONCLUSION: 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.