Pseudophakic ametropia managed with a phakic posterior chamber intraolcular lens

We report the use of a phakic posterior chamber intraocular lens (IOL) to c orrect pseudophakic ametropia. Two eyes of 2 patients developed ametropia a fter unilateral phacoemulsification and IOL implantation. The manifest refr action was -6.00 -0.50 X 50 in the first patient and +4.50 -1.00 X 15 in th e second. Both patients were bothered by the induced anisometropia and had posterior chamber phakic IOL implantation in the pseudophakic eye. Postoper atively, uncorrected visual acuity improved from 20/400 to 20/30 in the fir st patient and from 20/200 to 20/40 in the second patient. The manifest ref raction was -0.50 -0.75 X 55 and +1.50 -1.50 X 30, respectively. No complic ations were noted. Implantation of a phakic posterior chamber IOL may be an alternative to currently available methods of managing pseudophakic ametro pia.