Simultaneous bilateral intraocular collamer lens implant in a patient with psychomotor impairment

Abstract

To report a case of simultaneous bilateral implantable collamer lens (SBICL) implantation in a patient with a history of psychomotor impairment and seizures. A 31-year-old woman and her legal tutor presented to our outpatient department for refractive surgery to correct her high myopia. She had a medical history of premature birth, cerebral stroke at three months old subsequent psychomotor impairment, and seizures and was therefore incapable of using contact lenses. On presentation, the best corrected visual acuity was 20/60 and 20/80 in the right and left eye, respectively for high myopic astigmatism. Slit lamp examination revealed a normal anterior segment and mild fundus alterations related to high myopia. The patient underwent uneventful simultaneous bilateral implantable collamer lens with general anesthesia. No intraoperative or postoperative complications were observed. In certain circumstances, patients might benefit from simultaneous bilateral implantable collamer lens, which has been shown to have an excellent safety profile and is effective in correcting high myopia.

The reluctance of ophthalmologists to contemplate simultaneous bilateral intraocular surgery is due to apprehension that such an approach may generate specific complications, which could culminate in bilateral visual impairment. However, recent advances in surgical safety and efficacy have led to a reevaluation of indications, analogous to the paradigm shift observed in cataract surgery. In certain circumstances, patients with particular characteristics may require general anesthesia, and the benefits versus risks of concurrent bilateral surgery under such anesthesia merit consideration.