Efdal Yoeruek1, Karl U Bartz-Schmidt2. 1. Department of Ophthalmology, Eberhard-Karls University, Tuebingen, Germany. Efdal.Yoeruek@googlemail.com. 2. Department of Ophthalmology, Eberhard-Karls University, Tuebingen, Germany.
Abstract
PURPOSE: To present a new surgical technique for treating corneal opacity and aniridia with aphakia and the results in a small consecutive case series. METHODS: A three-piece acrylic intraocular lens (IOL) was attached to a customized silicone iris prosthesis and fixed with three 10-0 polypropylene sutures in a knotless technique using Z-sutures after trephination of the recipient cornea. The medical records of all consecutive patients who had received a keratoplasty and an implantation of an artificial iris and IOL were reviewed. RESULTS: Five eyes of five patients were included in the analysis. The mean age of the patients was 46.2 years and the mean follow-up was 24.6 months. The mean best-corrected visual acuity improved from 1.36 logMAR before surgery to 0.78 logMAR after surgery during the follow-up. At the last follow-up visit, the artificial iris-IOL complex was well centered with good positioning in all cases. CONCLUSIONS: Management of post-traumatic aniridia combined with aphakia and corneal scars or graft failure by haptic fixation of a foldable IOL on an artificial iris combined with a simultaneous keratoplasty appears to be a promising approach, which allows to correct a complex lesion with a less traumatic and faster procedure.
PURPOSE: To present a new surgical technique for treating corneal opacity and aniridia with aphakia and the results in a small consecutive case series. METHODS: A three-piece acrylic intraocular lens (IOL) was attached to a customized silicone iris prosthesis and fixed with three 10-0 polypropylene sutures in a knotless technique using Z-sutures after trephination of the recipient cornea. The medical records of all consecutive patients who had received a keratoplasty and an implantation of an artificial iris and IOL were reviewed. RESULTS: Five eyes of five patients were included in the analysis. The mean age of the patients was 46.2 years and the mean follow-up was 24.6 months. The mean best-corrected visual acuity improved from 1.36 logMAR before surgery to 0.78 logMAR after surgery during the follow-up. At the last follow-up visit, the artificial iris-IOL complex was well centered with good positioning in all cases. CONCLUSIONS: Management of post-traumatic aniridia combined with aphakia and corneal scars or graft failure by haptic fixation of a foldable IOL on an artificial iris combined with a simultaneous keratoplasty appears to be a promising approach, which allows to correct a complex lesion with a less traumatic and faster procedure.
Authors: A M Chien; C M Schmidt; E J Cohen; R K Rajpal; L T Sperber; C J Rapuano; M Moster; M Smith; P R Laibson Journal: Am J Ophthalmol Date: 1993-06-15 Impact factor: 5.258
Authors: Daniel Rudolf Muth; Siegfried Georg Priglinger; Mehdi Shajari; Thomas Christian Kreutzer; Wolfgang Johann Mayer Journal: Am J Ophthalmol Case Rep Date: 2022-03-25