Choroidal neovascularization in myopic eyes after phakic refractive lens and iris-claw lens implantation.
OBJECTIVE
To describe the appearance of choroidal neovascularization (CNV) in two myopic patients after implantation of a phakic refractive lens (PRL) and an iris-claw lens.


METHODS
A PRL was implanted in the left eye of a 35-year-old myopic man. Five weeks later, he reported decreased best-corrected visual acuity (BCVA). Fluorescein angiography revealed juxtafoveal CNV Photodynamic therapy with Visudyne (PDT) was successfully performed, achieving closure of the membrane. BCVA was 20/40 3 months afterwards. An iris-claw lens was implanted in the left eye of a 24-year-old myopic man. BCVA after surgery was 20/40 (SE -0.75). Three years later subfoveal CNV was diagnosed. PDT was performed, achieving complete closure of CNV BCVA was 20/100 3 months after treatment.


CONCLUSIONS
The appearance of CNV in myopic eyes corrected by phakic intraocular lens implantation is a possible complication that must be considered.
Ruiz-Moreno
J M
JM
Department of Ophthalmology, Miguel Hernández University School of Medicine Alicante, Spain. jm.ruiz@umh.es
Tavolato
M
M
Montero
J A
JA
Alió
J L
JL
D000328:Adult; D020256:Choroidal Neovascularization / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D005451:Fluorescein Angiography; D005654:Fundus Oculi; D006801:Humans; D019654:Lens Implantation, Intraocular / Q000009:adverse effects*; D007908:Lens, Crystalline / Q000502:physiology*; D007910:Lenses, Intraocular; D008297:Male; D009216:Myopia / Q000601:surgery*; D010778:Photochemotherapy; D016896:Treatment Outcome; D014792:Visual Acuity