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

  • By

  • Liuqing Cui

  • Karl Mercieca

  • Leonie Bourauel

  • March 24, 2026

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  • 1

    A 38-year-old woman developed elevated intraocular pressure (IOP) 15 years after bilateral Implantable Collamer Lens (ICL) implantation for high hyperopia.

  • 2

    Despite IOP-lowering treatments, the patient experienced inadequate control of IOP, prompting referral for further evaluation and management.

  • 3

    The surgical intervention involved explantation of the ICL and phacoemulsification with implantation of a posterior chamber intraocular lens.

  • 4

    Post-surgery, the patient's best-corrected visual acuity improved, and IOP stabilized, reducing the need for medication over time.

  • 5

    The patient reported persistent glare sensitivity post-surgery, leading to the trial of pharmacological miosis to alleviate symptoms.

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