Cataract after minor trauma in a young patient with an iris-fixated intraocular lens for high myopia.

PURPOSE: To report a case of traumatic cataract in a young patient with an iris-fixated phakic intraocular lens (PIOL).

DESIGN

Interventional case report.

METHOD: A 32-year-old woman with bilateral iris-fixated PIOLs for high myopia presented with a cortical cataract 2 weeks after minor ocular trauma. Ultrasound biomicroscopy and endothelial cell count were performed before and after cataract surgery.

RESULTS

The distance between the PIOL and the crystalline lens was 0.82 mm; the distance between the PIOL and the corneal endothelium was 2.30 mm. Endothelial cell count was 2,500 cells/mm(2) before surgery and 2,476 cells/mm(2) at 1 year follow-up.

CONCLUSIONS

Patients with iris-fixated PIOLs are at risk of rapid cataract progression after minor ocular traumatism.