title: Pseudophakic ametropia managed with a phakic posterior chamber intraocular lens.
abstract: We report the use of a phakic posterior chamber intraocular lens (IOL) to correct pseudophakic ametropia. Two eyes of 2 patients developed ametropia after unilateral phacoemulsification and IOL implantation. The manifest refraction was -6.00 -0.50 x 50 in the first patient and +4.50 -1.00 x 15 in the second. Both patients were bothered by the induced anisometropia and had posterior chamber phakic IOL implantation in the pseudophakic eye. Postoperatively, uncorrected visual acuity improved from 20/400 to 20/30 in the first patient and from 20/200 to 20/40 in the second patient. The manifest refraction was -0.50 -0.75 x 55 and +1.50 -1.50 x 30, respectively. No complications were noted. Implantation of a phakic posterior chamber IOL may be an alternative to currently available methods of managing pseudophakic ametropia.
authors.affiliation: Eye Surgery Center, Lausanne, Switzerland.
authors.forename: A G
authors.initials: AG
authors.lastname: Chiou
authors.forename: J
authors.initials: J
authors.lastname: Bovet
authors.forename: C
authors.initials: C
authors.lastname: de Courten
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D019654:Lens Implantation, Intraocular / Q000379:methods*; D007910:Lenses, Intraocular; D008297:Male; D018918:Phacoemulsification / Q000009:adverse effects; D019591:Pseudophakia / Q000150:complications / Q000601:surgery*; D012029:Refraction, Ocular; D012030:Refractive Errors / Q000209:etiology; D054140:Refractive Surgical Procedures; D014792:Visual Acuity