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Indian J Ophthalmol. 2019 Oct;67(10):1758-1760. doi: 10.4103/ijo.IJO_126_19.

Macular hole following phakic intraocular lens implantation and its management.

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Retina Services, Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.


A 28-year-old male presented to retina clinic with complains of blurring and distortion in right eye for past 1 week. There was history of implantation of phakic intraocular lens (pIOL) bilaterally 4 months back. Ophthalmic examination revealed a full-thickness macular hole in the right eye. Pars plana vitrectomy with inverted internal limiting membrane flap was planned. Post-operatively, patient had a good gain in vision (20/40) with closure of the hole. Macular hole is an unusual complication of pIOL. A detailed pre-operative fundus screening is indispensable. Early presentation and timely intervention can optimize the visual outcome.


Autofluorescence; ICL; Implantable collamer lens; macular hole; pars plana vitrectomy

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