Use of a novel four-point iris fixated IOL to manage aphakia and to prevent angle closure glaucoma after therapeutic penetrating keratoplasty

Abstract

Glaucoma after penetrating keratoplasty (PKP) is a well-known complication that may be associated with significant visual morbidity and graft failure. Herein, we report the successful use of a novel four-point iris-fixated intraocular lens (IOL) in two patients who presented with aphakia and uncontrolled glaucoma secondary to synechial angle closure after therapeutic PKP. Having an IOL device that corrects aphakia, as well as mechanically opens the angle by keeping the peripheral iris away from the cornea, can be another valuable alternative in the armamentarium of surgeons managing the twin problems of aphakia and angle-closure glaucoma.