Delhi Journal of Ophthalmology

Management of Pseudophakic Myopia Using Implantable Phakic Contact Lens with A ‘Piggy Back’ Technique

Kanchita Pandey, Devika Joshi, Shrikant Dinkar Joshi
Department of Ophthalmology, Deenanath Mangeshkar Hospital and Research Center, Erandwane, Pune, Maharashtra, India.

Editor-in-Chief, Delhi Journal of Ophthalmology, Dr R.P.Centre, AIIMS.


Corresponding Author:

Kanchita Pandey (DNB)
Resident Department of Ophthalmology,  
Deenanath Mangeshkar Hospital and Research Center, 
Erandwane, Pune, Maharashtra, India India.
Email: drkanch31@gmail.com


Received: 07-SEP-2021 Accepted: 05-MAY-2022 Published Online: 25-JUN-2022
DOI: https://dx.doi.org/10.7869/djo.767

Abstract
Purpose: We report a case of a pseudophakic myopic patient who received placement of an implantable phakic contact lens (IPCL) via a ‘piggyback technique’ resulting in improved visual acuity. 

Case report: A 35year old male patient with both eyes pseudophakic myopia came with complaints of diminution of vision in the right eye more than his left eye. After evaluating all available optical and surgical options, he received off-label placement of a posterior chamber IPCL with a piggyback technique for the pseudophakic right eye with a manifest refraction of -20.0 Ds. Best-corrected distance visual acuity improved from 20/60 to 20/30. 

Conclusion: Our case demonstrates the successful use of an implantable phakic contact lens (IPCL) in a pseudophakic myopic patient by a piggyback technique, resulting in improved visual acuity. This off-label use of IPCL offers a good alternative treatment option for pseudophakic patients with high refractive error.

Keywords :Implantable Phakic Contact Lens(Ipcl), Piggyback Technique, Pseudophakic Myopia