rss
BMJ Case Reports 2017; doi:10.1136/bcr-2016-218224
  • CASE REPORT

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}yahoo.com,ravaniraghav{at}gmail.com
  • Accepted 23 March 2017
  • Published 20 April 2017

Summary

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.

Footnotes

  • 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.

Register for free content

The full text of all Editor's Choice articles and summaries of every article are free without registration

The full text of Images in ... articles are free to registered users

Only fellows can access the full text of case reports (apart from Editor's Choice) - become a fellow today, or encourage your institution to, so that together we can grow and develop this resource

Don't forget to sign up for content alerts so you keep up to date with all the case reports as they are published, and let us know what you think by commenting on the Editor's blog

Navigate This Article