Li Xue-Jing, Duan Jia-Liang, Ma Jing-Xue, Shang Qing-Li
Department of Ophthalmology, The Second Hospital of Hebei Medical University, Shijiazhuang 050000, Hebei Province, China.
World J Clin Cases. 2022 Jul 16;10(20):7178-7183. doi: 10.12998/wjcc.v10.i20.7178.
Phakic intraocular lens (pIOL) implantation has been commonly prescribed and is considered as a safe and effective option for correcting high myopia. However, it is associated with multiple complications.
This report describes a case of full-thickness macular hole (MH) in a patient with a history of bilateral pIOL implantation for the correction of myopia of -12.00 diopters in both eyes 7 mo ago. The MH closed after pars plana vitrectomy with internal limiting membrane removal and the best-corrected visual acuity improved to 20/40 in the left eye.
In rare cases, MH can occur following pIOL. In this present case report, we analyzed the formation process of MH following the surgery and emphasized that it is important to inform highly myopic patients about the risk of MH occurrence while being aware of the symptoms of this complication.
有晶状体眼人工晶状体（pIOL）植入术已被广泛应用，被认为是矫正高度近视的一种安全有效的选择。然而，它会引发多种并发症。
本报告描述了一例患有双侧pIOL植入术病史的患者出现全层黄斑裂孔（MH）的情况，该患者于7个月前接受双眼-12.00屈光度近视矫正的pIOL植入术。在进行了玻璃体切割联合内界膜剥除术后黄斑裂孔闭合，左眼最佳矫正视力提高到了20/40。
在罕见情况下，pIOL植入术后可能会发生黄斑裂孔。在本病例报告中，我们分析了手术后黄斑裂孔形成的过程，并强调告知高度近视患者黄斑裂孔发生风险并让其了解该并发症症状的重要性。
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