Advanced bilateral glaucoma decades after first-generation Fyodorov ‘collar-button’ anterior–posterior phakic intraocular lens implantation: a case report and clinical management considerations - Scorecard - MDSpire
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Advanced bilateral glaucoma decades after first-generation Fyodorov ‘collar-button’ anterior–posterior phakic intraocular lens implantation: a case report and clinical management considerations
Clinical Scorecard: Bilateral Advanced Glaucoma Following Long-Term Implantation of First-Generation Fyodorov ‘Collar-Button’ Anterior-Posterior Phakic Intraocular Lens: A Case Study and Management Insights
At a Glance
Category
Detail
Condition
Bilateral advanced glaucoma secondary to phakic intraocular lens implantation with advanced glaucomatous optic neuropathy
Key Mechanisms
Target Population
Care Setting
Key Highlights
Patient presented with advanced glaucomatous optic neuropathy 25 years post pIOL implantation with IOP of 26 mmHg in RE and 24 mmHg in LE.
Guideline-Based Recommendations
Diagnosis
Management
Monitoring & Follow-up
Long-term follow-up is essential for patients with phakic intraocular lenses to detect complications, ideally every 6-12 months.
Risks
Patient & Prescribing Data
Early diagnosis and intervention, such as MP-TSCPC or medications, are crucial to prevent advanced optic nerve damage.
Clinical Best Practices
Utilize electrophysiological examinations to aid in the differential diagnosis of optic neuropathies.
Educate patients on the risks associated with long-term pIOLs.
Regular IOP monitoring is recommended for patients with pIOLs.
