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Traumatic aniridia through opposite clear corneal incision in a pseudophakic eye.
[aniridia]
A
56
-
year
-old
man
complaining
of
decreased
visual
acuity
in
his
left
eye
visited
the
emergency
room
1
hour
after
blunt
trauma
.
Slitlamp
examination
showed
no
visible
iris
tissue
.
The
corneal
wound
at
5
o'clock
was
sharp
,
and
Seidel
was
negative
.
In
the
right
eye
,
there
was
a
main
clear
corneal
incision
(
CCI
)
at
11
o'clock
and
an
opposite
CCI
(
OCCI
)
to
correct
corneal
astigmatism
at
5
o'clock
in
the
left
eye
.
Anterior
chamber
inflammation
and
hyphema
resolved
4
weeks
after
the
trauma
.
The
intraocular
lens
and
capsular
bag
were
intact
,
and
the
corrected
distance
visual
acuity
returned
to
20
/
25
.
To
our
knowledge
,
this
is
the
first
report
of
traumatic
iris
expulsion
through
a
3
.
0
mm
OCCI
.
An
OCCI
may
seal
better
than
a
main
CCI
,
which
is
used
in
cataract
surgery
,
because
the
OCCI
is
not
used
during
the
cataract
procedure
.
However
,
surgeons
should
be
aware
of
the
risk
for
postoperative
wound
dehiscence
associated
with
the
OCCI
.
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Validation
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"first report"
symptom
achondroplasia
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