title: Pseudophakic hyperopia in nanophthalmic eyes managed by a posterior chamber implantable collamer lens.
abstract: We report a case of a bilateral posterior chamber implantable collamer lens (ICL) implantation post-clear lens extraction, to reduce the residual hyperopia, in a patient with nanophthalmic eyes. A 30-year-old female patient, keen to reduce her dependency on glasses and contact lenses, came to our refractive surgery department. Her refractive error was +12.0 and +12.5 diopters in the right and left eye, respectively, with steep corneas on keratometry and a shallow anterior chamber depth. She underwent clear lens extraction with implantation of +35.0 D and +40.0 D IOL in the right eye and left eye, respectively. Her post-operative best-corrected visual acuity was 20/30 with +8.5 D in the right eye and +6 D in the left. She underwent bilateral ICL implantation. Postoperatively after 6 months, her unaided visual acuity was 20/30 in both eyes. In conclusion, ICL implantation can be considered to correct residual hypermetropic ametropia in pseudophakic eyes when other options have limitations.
authors.affiliation: Department of Cataract & Refractive Surgery, Bombay City Eye Institute and Research Centre, 5 Babulnath Road, Mumbai - 400 007, Maharashtra, India. bcei@vsnl.com
authors.forename: Kulin J
authors.initials: KJ
authors.lastname: Kothari
authors.forename: Prakash R
authors.initials: PR
authors.lastname: Nayak
authors.forename: Bijal K
authors.initials: BK
authors.lastname: Mehta
mesh_terms: D000328:Adult; D004867:Equipment Design; D005260:Female; D006801:Humans; D006956:Hyperopia / Q000209:etiology / Q000601:surgery*; D019654:Lens Implantation, Intraocular; D007910:Lenses, Intraocular; D008850:Microphthalmos / Q000150:complications; D011184:Postoperative Period; D019591:Pseudophakia; D014792:Visual Acuity