The reporter indicated that a vticm5_13.7, -7.00/2.5/091 (sphere/cylinder/axis), implantable collamer lens was implanted into the patients right eye (od) on (b)(6) 2019.Excessive vault, significant reduction of irido-corneal angles and pigment dispersion were reported.Secondary surgical intervention (yag) was performed on post-op day 1 "because the condition of the eye and patient's rapport (headache and vomiting debuting ca 8 h after surgery) suggested that iop had been high." in the surgeons opinion the cause of the event was due to icl too large/actual sulcus diameter smaller than expected from preop measurements.For patients' current condition the surgeon reported " patient is very pleased with the outcome, wears no lenses or glasses and would like to keep everything as it currently is; so close to emmetropia oa.However, there is rather large amounts of pigmentation on icl, iris atrophy and the vault is still ca 4 oa".The surgeon stated "i plan to exchange the icl for one two sizes down." if additional information is received a supplemental medwatch report will be submitted.
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