Posterior chamber phakic intraocular lens in posterior polymorphous corneal dystrophy.
Vivek M Singh, Aman Agrawal, Priyam Gupta
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Case in brief
A woman in her early 20s with bilateral compound myopic astigmatism and unilateral posterior polymorphous corneal dystrophy (PPCD) underwent sequential bilateral implantation of toric posterior chamber phakic intraocular lenses (ICL). Preoperative examinations confirmed PPCD in the left eye. At a 3-year follow-up, her uncorrected distance visual acuity was LogMAR 0 in the right eye and LogMAR 0.1 in the left eye, with stable lens positioning and normal corneal health.
What made this case unusual
This case is notable as it reports the implantation of an ICL in an eye affected by PPCD, a scenario not previously documented in the literature.
Diagnostic / clinical pearl
Clinicians should consider the potential for successful ICL implantation in patients with PPCD, as this case demonstrates favorable visual outcomes.