Zonular dehiscence two years after phakic refractive lens (PRL) implantation.
OBJECTIVE
To report two cases of zonular dehiscence two years after phakic refractive lens (PRL) implantation.


METHODS
In case 1, a 31-year-old myopic patient with refraction of -12.75 diopters (D) in the right eye and -20.50 D in the left eye, a 12-mm white-to-white measurement, and anterior chamber depth (ACD) of 3.7 mm underwent implantation of a -11.0 D and a -15.5 D PRL-101. Two years after surgery, a temporal-superior PRL decentration was observed in the left eye. In case 2, a 48-year-old pseudophakic patient with refraction of +8 -2.5 x 20 degrees underwent implantation of a piggyback PRL-200. Two years after surgery, an inferior PRL decentration was observed.


RESULTS
The PRL was explanted in both cases. A zonular dehiscence was found--temporal-superior in case 1 and inferior in case 2.


CONCLUSIONS
We have stopped implanting PRLs for the present time as the cause of this complication has yet to be determined.
Hoyos
Jairo E
JE
Instituto Oftalmológico Hoyos, Barcelona, Spain. jairoca@iohoyos.com
Cigales
Melania
M
Hoyos-Chacón
Jairo
J
D000328:Adult; D020878:Device Removal; D005548:Foreign-Body Migration / Q000209:etiology*; D006801:Humans; D019654:Lens Implantation, Intraocular / Q000009:adverse effects*; D007908:Lens, Crystalline / Q000502:physiology*; D007910:Lenses, Intraocular; D008022:Ligaments / Q000293:injuries* / Q000473:pathology; D008297:Male; D008875:Middle Aged; D009216:Myopia / Q000601:surgery*; D011183:Postoperative Complications; D012029:Refraction, Ocular; D012826:Silicone Elastomers
D012826:Silicone Elastomers