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Phacomorphic glaucoma in a high myope with phakic intraocular lens
  1. Talvir Sidhu,
  2. Arjun Desai,
  3. Meghal Gagrani and
  4. Tanuj Dada
  1. Department of Ophthalmology, Dr Rajendra Prasad Centre for Ophthalmic Sciences, AIIMS, Delhi, New Delhi, India
  1. Correspondence to Dr Tanuj Dada, tanujdada{at}


We report a case of a young, one-eyed woman with high myopia who presented to our emergency department with sudden onset painful diminution of vision in the right eye after undergoing laser treatment. Her right eye had a phakic intraocular lens (pIOL) implantation 4 years back and her left eye had absent light perception. She was diagnosed as right eye lens induced secondary angle closure glaucoma with pIOL touching the corneal endothelium and left eye atrophic bulbi. She was admitted under eye emergency for medical intraocular pressure control followed by pIOL explantation with lens aspiration of the cataractous lens and posterior chamber intraocular lens implantation.

  • ophthalmology
  • glaucoma
  • anterior chamber

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  • Contributors All the authors have contributed significantly to the manuscript. As the corresponding author, I (TD) have mentioned the roles all authors have played in this manuscript. TS: patient workup and follow-up, data collection and organisation, writing case report. AD: patient workup, investigations and report writing. MG: image editing and report writing. TD: patient selection, data review and manuscript finalisation.

  • 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.

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

  • Patient consent for publication Obtained.

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