BMJ Case Reports 2017; doi:10.1136/bcr-2016-218224

Management of a case of myopic foveoschisis with phakic intraocular lens (pIOL) in situ: intraoperative challenges

  1. Prateek Kakkar
  1. Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India
  1. Correspondence to Dr Raghav Dinesh Ravani, raghavravani{at},ravaniraghav{at}
  • Accepted 23 March 2017
  • Published 20 April 2017


We describe the case of a 30-year-old man with pathological myopia with a phakic intraocular lens (IOL) (Visian ICL V4c model; STAAR, Monrovia, California, USA) in situ having complaints of metamorphopsia in the left eye with documented myopic foveoschisis on swept-source optical coherence tomography (DRI OCT Triton; Topcon, Tokyo, Japan). The patient underwent pars plana vitrectomy with internal limiting membrane peeling. This report discusses the intraoperative challenges occurring as a result of increased optical aberrations in the presence of a phakic IOL.


  • Contributors AK: managed the patient and was involved in planning, conception and design, interpretation of data, and critical revision of the manuscript.

    RDR: conception and planning, monitoring data acquisition, and drafting and revision of manuscript.

    AM: data acquisition and drafting of manuscript.

    PK: monitoring data acquisition, drafting and revision of manuscript.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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