A new treatment for photophobia in posttraumatic aniridia: a case report.
OBJECTIVE
Using staining pigments with which we had gained experience in dermatography (medical tattooing) treatments of leucoma corneae, a new approach was developed to create an artificial iris-like staining at the mid-stromal level of the cornea to treat photophobia in a patient with posttraumatic aniridia.


METHODS
After a central 4-mm half-depth trephination, a lamellar dissection of the corneal stroma toward the limbus was performed. A combination of colored pigments was introduced into this midstromal space, until a light blue artificial iris (to match the contralateral eye) with adequate blocking of light was created.


RESULTS
A stable artificial iris was created in the mid-stromal level of the cornea.


CONCLUSIONS
Dermatography pigments are stable in the corneal stroma and are useful to treat photophobia in aniridia following trauma.
Beekhuis
W H
WH
Cornea Service, the Rotterdam Eye Hospital, The Netherlands.
Drost
B H
BH
van der Velden/Samderubun
E M
EM
D015783:Aniridia / Q000209:etiology*; D003315:Cornea / Q000601:surgery; D065306:Corneal Injuries; D015807:Eye Injuries, Penetrating / Q000150:complications* / Q000601:surgery; D005500:Follow-Up Studies; D019466:Glare; D006801:Humans; D007498:Iris / Q000293:injuries* / Q000601:surgery; D008027:Light; D008297:Male; D008875:Middle Aged; D013653:Tattooing; D014786:Vision Disorders / Q000209:etiology / Q000601:surgery*; D014792:Visual Acuity