Li XJ, Duan JL, Ma JX, Shang QL. Macular hole following phakic intraocular lens implantation: A case report. World J Clin Cases 2022; 10(20): 7178-7183 [PMID: 36051152 DOI: 10.12998/wjcc.v10.i20.7178]
Corresponding Author of This Article
Qing-Li Shang, MD, Associate Specialist, Department of Ophthalmology, The Second Hospital of Hebei Medical University, No. 215 Heping West Road, Xinhua District, Shijiazhuang 050000, Hebei Province, China. zhangp_w@163.com
Research Domain of This Article
Ophthalmology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Xue-Jing Li, Jia-Liang Duan, Jing-Xue Ma, Qing-Li Shang, Department of Ophthalmology, The Second Hospital of Hebei Medical University, Shijiazhuang 050000, Hebei Province, China
Author contributions: Li XJ and Duan JL reviewed the literature and wrote the manuscript draft; Ma JX and Shang QL performed the microbiological analyses and interpretation and contributed to manuscript drafting; Li XJ analyzed and interpreted the imaging findings; Duan JL and Ma JX performed the infectious diseases consultation, reviewed the literature and drafted the manuscript; All authors were responsible for the revision of the manuscript for important intellectual content, and approved the final version for submission.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Qing-Li Shang, MD, Associate Specialist, Department of Ophthalmology, The Second Hospital of Hebei Medical University, No. 215 Heping West Road, Xinhua District, Shijiazhuang 050000, Hebei Province, China. zhangp_w@163.com
Received: March 16, 2022 Peer-review started: March 16, 2022 First decision: April 8, 2022 Revised: April 27, 2022 Accepted: May 27, 2022 Article in press: May 27, 2022 Published online: July 16, 2022 Processing time: 110 Days and 17.4 Hours
Abstract
BACKGROUND
Phakic intraocular lens (pIOL) implantation has been commonly prescribed and is considered as a safe and effective option for correcting high myopia. However, it is associated with multiple complications.
CASE SUMMARY
This report describes a case of full-thickness macular hole (MH) in a patient with a history of bilateral pIOL implantation for the correction of myopia of –12.00 diopters in both eyes 7 mo ago. The MH closed after pars plana vitrectomy with internal limiting membrane removal and the best-corrected visual acuity improved to 20/40 in the left eye.
CONCLUSION
In rare cases, MH can occur following pIOL. In this present case report, we analyzed the formation process of MH following the surgery and emphasized that it is important to inform highly myopic patients about the risk of MH occurrence while being aware of the symptoms of this complication.
Core Tip: Although phakic intraocular lenses have been commonly prescribed and are safe and effective, they are still associated with multiple complications. One of the rare complications is a full-thickness macular hole occurring after phakic intraocular lens implantation. Therefore, it is important to inform highly myopic patients about the risk of MH occurrence and be attentive to the symptoms of this complication.
