Iris-fixated phakic intraocular lens implantation in an adult with retinopathy of prematurity: 1-year follow-up.

Purpose: To report a case of iris-fixated phakic intraocular lens (pIOL) implantation in a patient with an extremely steep cornea, shallow anterior chamber, and small corneal diameter caused by retinopathy of prematurity (ROP) and scleral encircling.Methods: Case report.Results: Iris-fixated pIOLs were implanted in a 19-year-old patient with refraction of −18.5 −0.75 × 180 in the right eye and −15.5 −1.25 × 180 in the left eye. The keratometric values were 53.50 and 51.25 diopters (D) in the right eye and 54.75 and 51.75 D in the left eye. The white-to-white diameter and anterior chamber depth were 10.6 and 3.37 mm, respectively, in the right eye and 10.5 and 3.33 mm, respectively, in the left eye.Conclusion: A small pIOL was used to guarantee a safety distance and resulted in a one-line gain in uncorrected distant visual acuity and stable endothelial cell density 1 year after surgery. An iris-fixated pIOL Vis therefore an effective option for myopic patients with ROP. [ABSTRACT FROM AUTHOR]