Resumen de Pigment dispersion syndrome induced by a phakic lens: monitoring by anterior segment Optical Coherence Tomography
Pedro Rocha Cabrera, José Augusto Abreu, José F. Alfonso Sánchez, Candelaria Pinto Herrera, José Juan Aguilar Estévez
A 29-year-old man came to our department complaining of pain and photophobia in the right eye (OD). He reported uneventful bilateral intraocular collamer lens (ICL) implantation 5 years previously. In April 2012, he presented with anterior uveitis with macular edema in the OD. Visual acuity (VA) was 0.5 in the OD, and 1.0 in the left eye (OS). Pigment dispersion on the lens and nasal corectopia were observed in the OD only. Anterior segment optical coherence tomography (OCT) revealed bilateral iridolenticular contact, more marked in the OD. After bilateral explantation of the ICL, the ocular symptoms disappeared and VA was recovered.
Serial anterior segment OCT following ICL implantation is extremely useful and can be an effective method for monitoring the lens position, allowing early detection of long-term complications
