title: Iris atrophy and erosion caused by an anterior-chamber angle-supported phakic intraocular lens.
abstract: We report a case in which an angle-supported phakic IOL was implanted to correct high myopia. Subsequently, the patient experienced photophobia, glare, halo, and loss of visual acuity and became concerned about the cosmetically deforming aspect of her eye. Findings included endothelial cell loss, cataract, pupil ovalization, and severe iris atrophy. The pIOL was removed and cataract surgery was performed, followed by implantation of a bag-in-the-lens IOL, but successful surgical repair of the iris was not possible because of severe iris atrophy.
  
  
  BACKGROUND
  No author has a financial or proprietary interest in any material or method mentioned.
authors.affiliation: From the Department of Ophthalmology, Antwerp University Hospital, Edegem, Belgium. Electronic address: handanakil84@gmail.com.
authors.forename: Handan
authors.initials: H
authors.lastname: Akil
authors.affiliation: From the Department of Ophthalmology, Antwerp University Hospital, Edegem, Belgium.
authors.forename: Sorcha Ní
authors.initials: SN
authors.lastname: Dhubhghaill
authors.affiliation: From the Department of Ophthalmology, Antwerp University Hospital, Edegem, Belgium.
authors.forename: Marie-José
authors.initials: MJ
authors.lastname: Tassignon
mesh_terms: D000867:Anterior Chamber / Q000601:surgery*; D001284:Atrophy / Q000209:etiology; D020878:Device Removal; D005260:Female; D019466:Glare; D006801:Humans; D007498:Iris / Q000473:pathology*; D007499:Iris Diseases / Q000209:etiology*; D019654:Lens Implantation, Intraocular / Q000009:adverse effects*; D008875:Middle Aged; D009216:Myopia / Q000601:surgery; D054120:Phakic Intraocular Lenses / Q000009:adverse effects*; D020795:Photophobia / Q000209:etiology; D014786:Vision Disorders / Q000209:etiology; D014792:Visual Acuity / Q000502:physiology