A new technique for treating posttraumatic aniridia with aphakia: first results of haptic fixation of a foldable intraocular lens on a foldable and custom-tailored iris prosthesis.

Abstract

We describe a new surgical technique for treating traumatic aniridia with aphakia and its results in a small consecutive case series. We attached a 3-piece acrylic intraocular lens through the haptics to a customized silicone iris prosthesis. The combined implant was inserted through a 5-mm incision and fixated with a transscleral suture in the ciliary sulcus using a knotless technique (Z suture). In all patients, the combined implant stayed firmly fixed within the sulcus and showed a stable and centered position without any tilt or torque during follow-up. Thus, managing posttraumatic aniridia with aphakia by means of haptic fixation of a foldable intraocular lens on a custom-tailored iris prosthesis is a promising approach for visual rehabilitation and cosmetic improvement.

• Authors: Martin S Spitzer, Efdal Yoeruek, Martin A Leitritz, Peter Szurman, Karl U Bartz-Schmidt
• Journal: Archives of ophthalmology (Chicago, Ill. : 1960) (Arch Ophthalmol) Vol. 130 Issue 6 Pg. 771-5 (Jun 2012) ISSN: 1538-3601 [Electronic] United States
• PMID: 22801839 (Publication Type: Journal Article)

Chemical References

• Silicone Elastomers

Topics

• Adult
• Aged
• Aphakia, Postcataract (etiology, surgery)
• Eye Injuries, Penetrating (etiology, surgery)
• Humans
• Iris (injuries)
• Lens Implantation, Intraocular (methods)
• Lenses, Intraocular
• Male
• Middle Aged
• Prostheses and Implants
• Refraction, Ocular (physiology)
• Rupture
• Silicone Elastomers
• Suture Techniques
• Vision Disorders (rehabilitation)
• Visual Acuity (physiology)