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Br J Ophthalmol 2004;88:309 doi:10.1136/bjo.2003.021915
  • Letter

Correction of pseudophakic anisometropia in a patient with pseudoexfoliation using an implantable contact lens

  1. N N Ashraff,
  2. B V Kumar,
  3. A Das,
  4. A P Moriarty
  1. Department of Ophthalmology, Stepping Hill Hospital, Stockport, UK
  1. Correspondence to: Nina Ashraff Manchester Royal Eye Hospital, Oxford Road, Manchester M13 9WH, UK; ninaashraffhotmail.com
  • Accepted 12 May 2003

Pseudophakic anisometropia may cause significant patient dissatisfaction with marked visual problems. Correction methods include contact lenses, intraocular lens (IOL) exchange, piggybacking a supplementary IOL, and corneal refractive surgery.

The Staar surgical implantable contact lens (ICL) was first used to correct myopia and hyperopia in phakic patients. It is now being used to correct pseudophakic anisometropia.1,2

The following case describes the successful management of pseudophakic anisometropia using an ICL in a patient with high myopia and pseudoexfoliation.

Case report

An 80 year old woman was referred to us for correction of pseudophakic anisometropia. She had bilateral pseudoexfoliation and was highly myopic, her original refraction being −14.00 DS right eye, −13.50/+1.75×20 left eye.

In 1989 she underwent left cataract extraction with …

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