Bilateral giant retinal tear following posterior chamber phakic intraocular lens implantation

Abstract

Purpose: 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.