A rare complication of implantation of a posterior chamber phakic intraocular lens with a subsequent staged treatment

Relevance. High myopia is one of the actual and modern problems in ophthalmology. Implantation of phakic intraocular lenses is considered the most optimal way to correct it today, having a number of advantages: the possibility of saving accommodation, accuracy and predictability of calculations, simultaneous compensation of high values of refractive anomaly of the optical system of the eye, a significant improvement in the quality of life and restoration of working capacity, a short rehabilitation period, as well as the reversibility of the technique, which does not require the presence of expensive equipment and is available for mastering. Despite the fact that these operations have been carried out for decades around the world, and surgical technology and lens calculation techniques are brought to automatism, there are still risks of developing various postoperative complications. The aim of the study: to present a clinical case of rotation of a phakic intraocular lens, which resulted in the development of severe secondary glaucoma with corneal dystrophy. Materials and methods: under the supervision was the patient D. 36 years old, who was implanted with phakic IOL in both eyes in August 2020 due to high myopia at the place of residence. In January 2021, the patient noted a decrease in visual acuity of the right eye, during the examination, a rotation of phakic IOL by more than 60 degrees and a rise in intraocular pressure were revealed. Conclusion: the correct selection of patients and their follow-up in the postoperative period is necessary for the safety, effectiveness and possibility of obtaining high functional and refractive results when using this method of correction of high myopia.