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Macular hole following phakic intraocular lens implantation and its management
Author(s) -
Atul Kumar,
Srikanta Kumar Padhy,
Rebika Dhiman,
Prashant Kumar,
Twinkle Parekh,
Toshit Varshney
Publication year - 2019
Publication title -
indian journal of ophthalmology/indian journal of ophthalmology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.542
H-Index - 51
eISSN - 1998-3689
pISSN - 0301-4738
DOI - 10.4103/ijo.ijo_126_19
Subject(s) - medicine , macular hole , vitrectomy , pars plana , ophthalmology , internal limiting membrane , fundus (uterus) , retinal detachment , maculopathy , optometry , lens (geology) , visual acuity , retinopathy , retinal , optics , diabetes mellitus , endocrinology , physics
A 28-year-old male presented to retina clinic with complains of blurring and distortion in right eye for past 1 week. There was history of implantation of phakic intraocular lens (pIOL) bilaterally 4 months back. Ophthalmic examination revealed a full-thickness macular hole in the right eye. Pars plana vitrectomy with inverted internal limiting membrane flap was planned. Post-operatively, patient had a good gain in vision (20/40) with closure of the hole. Macular hole is an unusual complication of pIOL. A detailed pre-operative fundus screening is indispensable. Early presentation and timely intervention can optimize the visual outcome.

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