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Bilateral Advanced Glaucoma Following Long-Term Implantation of First-Generation Fyodorov ‘Collar-Button’ Anterior-Posterior Phakic Intraocular Lens: A Case Study and Management Insights
To report a case of advanced glaucomatous optic neuropathy decades after pIOL implantation and to discuss management strategies, highlighting the importance of long-term monitoring.
Key Findings:
The patient had advanced glaucomatous optic neuropathy with high IOP and cataract formation, indicating severe complications from pIOLs.
MP-TSCPC successfully reduced IOP in the right eye from 23 mmHg to 16 mmHg, showcasing effective management.
Phakic intraocular lenses can lead to long-term complications such as glaucoma and cataracts, necessitating vigilant monitoring.
Interpretation:
Long-term follow-up is crucial for patients with pIOLs to prevent severe complications like glaucoma, which can lead to irreversible optic nerve damage, emphasizing the need for regular assessments.
Limitations:
The patient lacked medical documentation and prior ophthalmological evaluations, complicating the assessment of his condition.
The case highlights challenges in diagnosing and managing late-onset complications of early-generation pIOLs, underscoring the need for awareness among practitioners.
Conclusion:
Early detection and management of glaucoma in patients with pIOLs are vital to prevent significant visual impairment, reinforcing the importance of routine follow-ups.
