Objective:

To report a case of elevated intraocular pressure (IOP) following Implantable Collamer Lens (ICL) implantation in a patient with severe hyperopia and to discuss the management strategies and outcomes.

Approach:

Key Findings:

• The patient experienced bilateral IOP elevations up to 30 mmHg after 15 years of ICL implantation.
• Surgical intervention led to improved IOP control and visual acuity, with BCVA improving to 20/20.
• Persistent glare sensitivity was reported post-surgery, indicating a potential long-term visual disturbance.

Interpretation:

The case highlights the potential long-term complications of ICL implantation, particularly in patients with pre-existing risk factors for glaucoma, suggesting the need for careful patient selection and monitoring.

Limitations:

• The case study is based on a single patient, limiting generalizability.
• Long-term outcomes beyond six months post-surgery are not reported, which is critical for understanding the full impact of the intervention.

Conclusion:

ICL explantation combined with cataract surgery can effectively manage elevated IOP in patients with severe hyperopia, although some visual disturbances may persist postoperatively.

Source

Based on findings from:

Removal of Implantable Collamer Lenses Due to Elevated Intraocular Pressure in a Patient with Severe Hyperopia: A Case Study

Liuqing Cui, Karl Mercieca, Leonie Bourauel. Bmc Ophthalmology, 2026.

https://link.springer.com/article/10.1186/s12886-026-04757-1

Attribution Notice

This content is an AI-generated, fully rewritten summary based on a published scholarly article. It does not reproduce the original text and is not a substitute for the original publication. Readers are encouraged to consult the source for full context, data, and methodology.