Refractory intraocular pressure increase after phakic posterior chamber intraocular lens implantation.

Abstract

To describe a complication resulting from the implantation of a posterior chamber intraocular lens in a phakic eye. Interventional case report. We examined a 37-year-old woman with severe myopia who had implantation of a phakic posterior chamber intraocular lens. The patient developed pigmentary glaucoma with refractory increase in intraocular pressure, despitemedical therapy and intraocular lens removal. Trabeculectomy was required to reduce the pressure. 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.