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Traumatic partial aniridia and cataract after iris-fixated foldable phakic intraocular lens implantation.
[aniridia]
We
present
the
first
case
of
partial
aniridia
,
traumatic
cataract
,
and
peripapillary
subretinal
hemorrhage
after
blunt
trauma
to
an
eye
containing
a
foldable
iris
-fixated
phakic
intraocular
lens
(
pIOL
)
.
Although
the
patient
experienced
visual
loss
because
of
considerable
corneal
astigmatism
and
a
traumatic
cataract
,
vision
was
recovered
by
a
2
-
stage
primary
corneal
repair
and
cataract
surgery
with
a
toric
intraocular
lens
.
This
case
exhibits
clinical
manifestations
that
differ
from
previously
reported
trauma
of
a
non-foldable
iris
-fixated
pIOL
.
A
relatively
small
corneal
incision
and
a
large
optic
diameter
of
Artiflex
pIOLs
may
prevent
posttraumatic
total
expulsion
of
intraocular
tissues
and
present
different
clinical
features
from
the
case
of
non-foldable
pIOLs
(
Artisan
)
.
Although
the
extent
of
the
damage
is
different
,
the
possibility
of
aniridia
and
traumatic
cataract
exists
in
eyes
with
both
foldable
and
non-foldable
iris
-fixated
pIOLs
.