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Artificial iris-intraocular lens implantation for traumatic aniridia and aphakia assisted by silicone oil retention sutures.
[aniridia]
An
83
-
year
-old
pseudophakic
woman
fell
and
sustained
an
open
-globe
injury
to
her
left
eye
with
traumatic
aniridia
,
aphakia
,
and
a
total
retinal
detachment
.
Visual
acuity
was
light
perception
.
After
primary
repair
of
the
ruptured
globe
,
the
retina
was
reattached
using
silicone
oil
tamponade
with
placement
of
silicone
oil
retention
sutures
to
prevent
the
oil
from
touching
the
corneal
endothelium
.
Three
months
later
,
the
oil
was
removed
and
with
glare
,
aphakic
correction
improved
the
patient
's
visual
acuity
to
20
/
80
(
-
1
)
.
A
scleral-fixated
artificial
iris
-intraocular
lens
(
IOL
)
was
subsequently
implanted
.
During
placement
of
the
IOL
through
a
temporal
corneoscleral
beveled
incision
into
the
anterior
chamber
,
the
silicone
oil
retention
sutures
supported
the
optic
as
it
was
Â
scleral
fixated
.
The
retention
sutures
aided
in
the
placement
of
the
IOL
and
prevented
it
from
subluxating
and
/
or
dislocating
during
surgery
.
Postoperatively
,
the
corrected
visual
acuity
was
20
/
50
(
-
2
)
.
Dr
.
Rosenthal
is
a
consultant
to
and
clinical
investigator
for
Ophtec
USA
,
Inc
.
No
other
author
has
a
financial
or
proprietary
interest
in
any
material
or
method
mentioned
.
Diseases
Validation
Diseases presenting
"eye with traumatic aniridia"
symptom
aniridia
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