Table 2 Summary of previous case reports of dilated pupils after phakic intraocular lens implantation
Author, year | Type of phakic IOL | Preexisting corneal disease | Increase in IOP | Cause of elevated IOP | Time when dilated pupil was detected | Characteristic of dilated pupil | Outcome at final follow-up | Treatment | ||
|---|---|---|---|---|---|---|---|---|---|---|
At immediate postoperative period | at postoperative day 1 | Reactivity to light at early postoperative period | Reactivity to pilocarpine | |||||||
Anterior chamber phakic IOL implantation | ||||||||||
Yuzbasioglu et al. 2006 [11] | Iris-claw IOL | None | N/A | 60 mmHg | N/A | 1 day after surgery | No | No | Irreversible after postoperative 6 months | N/A |
Park et al. 2008 [12] | Iris-claw IOL | None | N/A | No | N/A | 2 weeks after surgery* | No | No | Irreversible after postoperative 2 months | N/A |
Posterior chamber phakic IOL implantation | ||||||||||
Kummelil et al. 2011 [13] | ICL (STAAR Surgical, Nidau, Switzerland) | None | N/A | 48 mmHg | Viscoelastic retention** | 1 day after surgery | N/A | No | Irreversible after postoperative 3 months | Conservative |
Perez-Cambrodi et al. 2014 [14] | Phakic refractive lens (PRL) (Carl Zeiss Meditec, Jena, Germany) | None | N/A | 65 mmHg | Viscoelastic retention | 1 day after surgery | Slightly reactive to light | No | Irreversible after postoperative 3 years | Tinted CL |
Habash et al. 2015 [15] | ICL (STAAR Surgical, Nidau, Switzerland) | None | N/A | 52 mmHg | N/A | 1 day after surgery | No | No | Irreversible after postoperative 3 years | N/A |
Al-Thomali et al. 2016 [16] | Toric ICL (STAAR Surgical, Nidau, Switzerland) | Nonprogressive keratoconus | 1 hour after surgery: OD 26 mmHg OS 28 mmHg | IOP returned to normal at postoperative day 1 | N/A | 1 day after surgery | Yes | Yes | Partially reverse after postoperative 2 months | N/A |
Our case | Toric ICL (STAAR Surgical, Nidau, Switzerland) | None | 1 hour after surgery: OD 48 mmHg | IOP returned to normal at postoperative day 1 | Viscoelastic retention | 1 day after surgery | Yes | Yes | Partially reverse after postoperative 3 months | Conservative |