Abstract | OBJECTIVE: To analyze long-term complications of black diaphragm aniridia intraocular lens (IOL) implant in traumatic aniridia and to investigate the causes and precautionary measures. METHODS: This is a retrospective consecutive case study. Five traumatic aniridia cases undertaken black diaphragm aniridia IOL implantation in Shandong Eye Institute and Hospital and developed severe complications during long-term follow-up were analyzed, including 4 males and 1 female, averaged 26.8 years old. The follow-up time varied from 42 months to 108 months. Two cases had implantation of a secondary black diaphragm IOL after pars plana vitrectomy. Two cases had implantation of a black diaphragm IOL together with cataract extraction. One case implanted a black diaphragm IOL only. RESULTS: All patients felt well within a short period after the surgery, symptoms of glare and photophobia were improved. A better visual acuity was obtained in a short-term period. However, severely secondary glaucoma and bullous keratopathy occurred in the long-term follow up. Visual acuity decreased to counting finger or hand motion. All cases received penetrating keratoplasty and IOL explantation. CONCLUSIONS:
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Authors | Xiao-Guang Dong, Jun Cheng, Li-Xin Xie |
Journal | [Zhonghua yan ke za zhi] Chinese journal of ophthalmology
(Zhonghua Yan Ke Za Zhi)
Vol. 45
Issue 11
Pg. 982-6
(Nov 2009)
ISSN: 0412-4081 [Print] China |
PMID | 20137415
(Publication Type: Case Reports, English Abstract, Journal Article)
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Topics |
- Adolescent
- Adult
- Aniridia
(etiology, surgery)
- Eye Injuries
(complications, surgery)
- Female
- Humans
- Lens Implantation, Intraocular
(adverse effects)
- Lenses, Intraocular
(adverse effects)
- Male
- Postoperative Complications
(etiology)
- Retrospective Studies
- Young Adult
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