Bilateral giant retinal tear following posterior chamber phakic intraocular lens implantation.
OBJECTIVE
To report a case of bilateral giant retinal tear following posterior chamber phakic intraocular lens (PIOL) implantation.


METHODS
A patient with an ocular history of retinal detachment associated with giant retinal tear 4 months after a bilateral PIOL implantation was referred with a macula on retinal detachment associated with giant retinal tear in the fellow eye. The patient underwent vitrectomy with silicone oil tamponade and an encircling buckle. Five months later, a lensectomy with phakic IOL and silicone oil removal were performed.


RESULTS
The retina was reattached and has remained stable during 3-year follow-up.


CONCLUSIONS
Although it is unclear whether retinal detachment associated with giant retinal tear following refractive procedures occurs within the normal incidence in myopic eyes, prophylactic measures are mandatory in high-risk fellow eyes.
Vitreo-retinal Unit, Instituto de Microcirugía Ocular de Barcelona, Spain. imo@imo.es
Rafael
R
Navarro
Oscar
O
Gris
Laura
L
Broc
Borja
B
Corcóstegui
D000328:Adult; D006801:Humans; D019654:Lens Implantation, Intraocular / Q000009:adverse effects*; D007908:Lens, Crystalline / Q000502:physiology*; D008297:Male; D011183:Postoperative Complications; D012163:Retinal Detachment / Q000209:etiology* / Q000601:surgery; D012167:Retinal Perforations / Q000209:etiology* / Q000601:surgery; D012591:Scleral Buckling; D012827:Silicone Oils / Q000008:administration & dosage; D014821:Vitrectomy
D012827:Silicone Oils