Vitreous hemorrhage following phakic anterior chamber intraocular lens implantation in severe myopia.
OBJECTIVE
To describe two cases of vitreous hemorrhage following phakic anterior chamber lens (AC-IOL) implantation in high myopia.


METHODS
In case 1, hemorrhage developed one month after surgery, without retinal involvement, and visual acuity (VA) resulted 20/200 after pars-plana vitrectomy (PPV). In Case 2, vitreous hemorrhage was complicated by retinal detachment (RD). PPV and silicone oil injection were performed, with AC-IOL removal and cristalline lens extraction. After 2 years the retina was attached and VA was 20/80.


CONCLUSIONS
Only few cases of RD, posterior uveitis and endophthalmitis are reported following phakic AC-IOL implant. Vitreous hemorrhage could represent an additional posterior segment complication. Intraoperative manoeuvres, hypotony-induced posterior vitreous detachment and/or peripheral retina traction could play a role in engendering this complication in highly myopic eyes.
Nuzzi
G
G
Institute of Ophthalmology, University of Parma, Italy. nuzzi@unipr.it
Cantù
C
C
D000328:Adult; D000867:Anterior Chamber / Q000601:surgery*; D020878:Device Removal; D006801:Humans; D007267:Injections; D019654:Lens Implantation, Intraocular / Q000009:adverse effects*; D007908:Lens, Crystalline / Q000502:physiology*; D008297:Male; D008875:Middle Aged; D009216:Myopia / Q000601:surgery*; D012163:Retinal Detachment / Q000209:etiology; D012827:Silicone Oils / Q000627:therapeutic use; D014792:Visual Acuity; D014821:Vitrectomy; D014823:Vitreous Hemorrhage / Q000209:etiology* / Q000601:surgery
D012827:Silicone Oils