Reversal of myopic anisometropic amblyopia with phakic intraocular lens implantation.
OBJECTIVE
To report a case of reversal of myopic anisometropic amblyopia with phakic intraocular lens implantation.


METHODS
A 6-year-old boy with anisometropic amblyopia with spherical equivalent refraction of right eye: -14.00 -3.00 x 100 degrees, left eye: -0.50 -3.25 x 90 degrees, was treated for 2 years with occlusion to the left eye, with poor results. Refractive surgery was planned because of contact lens intolerance at age 8 years. A -15.00-D iris claw Artisan intraocular lens (IOL) was implanted.


RESULTS
Following surgery, treatment of the amblyopia and spectacle correction of -4.00 D cylinder at 85 degrees in the right eye and -3.50 D cylinder at 90 degrees in the left eye was necessary. Visual acuity 6 months after surgery was 20/25 in the right eye and 20/20 in the left eye, and has remained stable 18 months after surgery.


CONCLUSIONS
Myopic anisometropic amblyopia in an 8-year-old boy was treated successfully with implantation of an Artisan iris claw phakic anterior chamber IOL, combined with occlusion therapy, and resulted in reversal of amblyopia.
Chipont
E M
EM
Department of Pediatric Ophthalmology and Refractive Surgery, Universidad Miguel Hernandaz, Alicante, Spain.
García-Hermosa
P
P
Alió
J L
JL
D000550:Amblyopia / Q000503:physiopathology / Q000601:surgery*; D015858:Anisometropia / Q000503:physiopathology / Q000601:surgery*; D000867:Anterior Chamber / Q000601:surgery*; D002648:Child; D003261:Contact Lenses; D006801:Humans; D019654:Lens Implantation, Intraocular; D007910:Lenses, Intraocular; D008297:Male; D009216:Myopia / Q000503:physiopathology / Q000601:surgery*; D014792:Visual Acuity