Refractory intraocular pressure increase after phakic posterior chamber intraocular lens implantation.

Purpose

To describe a complication resulting from the implantation of a posterior chamber intraocular lens in a phakic eye.

Design

Interventional case report.

Methods

We examined a 37-year-old woman with severe myopia who had implantation of a phakic posterior chamber intraocular lens.

Results

The patient developed pigmentary glaucoma with refractory increase in intraocular pressure, despitemedical therapy and intraocular lens removal. Trabeculectomy was required to reduce the pressure.

Conclusion

This case demonstrates that pigmentary glaucoma secondary to implantation of a phakic posterior chamber intraocular lens can lead to filtering surgery to decrease intraocular pressure.