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Pars plana vitrectomy in management of giant retinal tear and retinal detachment following iris-fixated anterior chamber phakic intraocular lens implantation
  1. Sagnik Sen,
  2. Raghav Dinesh Ravani,
  3. Prateek Kakkar and
  4. Atul Kumar
  1. Department of Ophthalmology, All India Institute of Medical Sciences, New Delhi, Delhi, India
  1. Correspondence to Dr Sagnik Sen, riksag{at}


This case report describes a 26-year-old man presenting with a giant retinal tear (GRT) with retinal detachment (RD) following implantation of iris-fixated anterior chamber phakic intraocular lens (AC-PIOL) for high myopia and occurrence of intraoperative aberrations during vitrectomy due to the presence of AC-PIOL in situ. Posterior chamber PIOL have been well reported to be associated with GRT with RD. Very few reports exist of GRT with RD following AC-PIOL. Moreover, the presence of iris-fixated AC-PIOL, in this case, led to the formation of ghost images intraoperatively especially during crucial steps like induction of posterior vitreous detachment which has never been reported.

  • anterior chamber
  • retina
  • visual pathway

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  • Contributors SS: written, proof read manuscript. RDR: helped in writing and proofreading. PK: helped in writing and proofreading. AK: conceptualised and proofread manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Obtained.

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

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