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CASE REPORT
Management of a case of myopic foveoschisis with phakic intraocular lens (pIOL) in situ: intraoperative challenges
  1. Atul Kumar,
  2. Aditi Mehta,
  3. Raghav Dinesh Ravani,
  4. 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

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.

  • Ophthalmology
  • Retina
  • Macula

https://doi.org/10.1136/bcr-2016-218224

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    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.