Introduction:

Phakic refractive lenses may get dislocated into the vitreous cavity and retina. When placed on both eyes, it may occur in only one of them, causing anisometropy.

Subject and methodology:

The patient was a 46 year old female who had undergone refractive surgery for high myopia in 2002. Two Phakic Refractive Lenses were introduced. In June 2012 the patient was sent to our Retinal Surgery Department, at the Ophthalmology Service of the CHS (Centro Hospitalar de Setúbal), after having lost vision in her left eye. A Phakic Lens in the vitreous cavity. No facodonesis was observed.

Discussion:

The authors reveal the likely cause of the lens’ luxation into the vitreous cavity and present their options in order to solve the refractive problem and extract the luxated lens.Conclusion-A Faco with a capsular tension ring and the introduction of a posterior chamber lens in the bag, along with  vitrectomy to extract the luxated Phakic Lens, seem to be an effective and safe technique.