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 "temporal corneoscleral" symptom

aniridia

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