Reversal of myopic anisometropic amblyopia with phakic intraocular lens implantation

PURPOSE: To report a case of reversal of myopic anisometropic amblyopia wit h phakic intraocular lens implantation. METHODS: A g-year-old boy with amisometropic amblyopia with spherical equiv alent refraction of right eye: -14.00 -3.00 x 100 degrees, left eye: -0.50 -3.25 x 90 degrees, was treated for 2 years with occlusion to the left eye, with poor results. Refractive surgery was planned because of contact lens intolerance at age 8 years. A -15.00-D iris claw Artisan intraocular lens ( IOL) was implanted. RESULTS: Following surgery, treatment of the amblyopia and spectacle correc tion of -4.00 D cylinder at 85 degrees in the right eye and -3.50 D cylinde r at 90 degrees in the left eye was necessary. Visual acuity 6 months after surgery was 20/25 in the right eye and 20/20 in the left eye, and has rema ined stable 18 months after surgery. CONCLUSION: Myopic anisometropic amblyopia in an 8-year-old boy was treated successfully with implantation of an Artisan iris claw phakic anterior cha mber IOL, combined with occlusion therapy, and resulted in reversal of ambl yopia.