Silicone posterior chamber phakic intraocular lens dislocated into the vitreous cavity.
OBJECTIVE
To report two highly myopic patients with silicone posterior chamber phakic intraocular lenses (Phakic Refractive Lens; CIBA Vision, Duluth, Ga) that luxated into the vitreous cavity without history of ocular trauma.


METHODS
Two patients with posterior chamber phakic intraocular lenses (PIOLs) that luxated into the vitreous cavity of the right eye were examined. Each eye underwent pars plana vitrectomy and removal of the posterior chamber PIOL under retrobulbar anesthesia.


RESULTS
Both patients were treated successfully. In the first patient, the posterior chamber PIOL luxated into the anterior vitreous cavity whereas in the second patient, the posterior chamber PIOL lay on the posterior pole. No ocular complications developed postoperatively.


CONCLUSIONS
Luxation into the vitreous cavity is a rare, but potentially severe complication of posterior chamber PIOL refractive surgery in highly myopic eyes. Successful management includes pars plana vitrectomy and removal of the posterior chamber PIOL.
Martínez-Castillo
Vicente
V
Instituto Oftalmológico de Barcelona. 31756vmc@comb.es
Elies
Daniel
D
Boixadera
Anna
A
García-Arumí
José
J
Mauricio
Joaquín
J
Cavero
Lluís
L
Coret
Andreu
A
D000328:Adult; D020878:Device Removal; D005260:Female; D005548:Foreign-Body Migration / Q000209:etiology* / Q000601:surgery; D006801:Humans; D007908:Lens, Crystalline / Q000502:physiology*; D007910:Lenses, Intraocular; D008297:Male; D009216:Myopia / Q000601:surgery; D011183:Postoperative Complications; D011475:Prosthesis Failure; D012086:Reoperation; D012826:Silicone Elastomers; D014821:Vitrectomy; D014822:Vitreous Body / Q000473:pathology*
D012826:Silicone Elastomers