Cataract after minor trauma in a young patient with an iris-fixated intraocular lens for high myopia.

Abstract

To report a case of traumatic cataract in a young patient with an iris-fixated phakic intraocular lens (PIOL). Interventional case report. A 32-year-old woman with bilateral iris-fixated PIOLs for high myopia presented with a cortical cataract 2 weeks after minor ocular trauma. Ultrasound biomicroscopy and endothelial cell count were performed before and after cataract surgery. The distance between the PIOL and the crystalline lens was 0.82 mm; the distance between the PIOL and the corneal endothelium was 2.30 mm. Endothelial cell count was 2,500 cells/mm(2) before surgery and 2,476 cells/mm(2) at 1 year follow-up. Patients with iris-fixated PIOLs are at risk of rapid cataract progression after minor ocular traumatism.