title: Combined aniridia ring implantation and cataract surgery in an Axenfeld-Rieger syndrome: a UBM report.
abstract: OBJECTIVE
  To describe ultrasound biomicroscopy (UBM) features in a patient with Axenfeld-Rieger syndrome (ARS) and cataract before and after anterior segment surgery using intraocular lens (IOL) and aniridic ring implantation (Morcher Aniridia rings 50 D).
  
  
  METHODS
  Visual acuity, subjective glare disability, intraocular pressure, endothelial cell density, and UBM imaging were reviewed over a period of 1 year.
  
  
  RESULTS
  One month after surgery, the operated eye showed improved visual acuity and visual comfort, and UBM examination showed a well-centered IOL and well-aligned aniridic ring fins. After 8 months, UBM examination showed contraction of the capsular bag, which appeared wrinkled, fibrous, and thickened. The capsular bag comprised the aniridic ring fins, causing misalignment. The glare disability had dropped from grade 0 to 3. The same outcome was present at 1 year.
  
  
  CONCLUSIONS
  Ultrasound biomicroscopy is a useful noninvasive diagnostic means to picture anatomic details before and after surgery; it suggested that capsular bag shrinking caused migration of the aniridic rings, 8 months after surgery.
authors.affiliation: Clinica Oculistica, Department of Ophthalmology and Otorhinolaryngology, University of Bari, Bari, Italy. silvanaguerriero@gmail.com
authors.forename: Silvana
authors.initials: S
authors.lastname: Guerriero
authors.forename: Milena
authors.initials: M
authors.lastname: L'Abbate
authors.forename: Maria Gabriella
authors.initials: MG
authors.lastname: La Tegola
authors.forename: Giovanni
authors.initials: G
authors.lastname: Alessio
authors.forename: Giancarlo
authors.initials: G
authors.lastname: Sborgia
mesh_terms: D000328:Adult; D015783:Aniridia / Q000000981:diagnostic imaging* / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D000869:Anterior Eye Segment / Q000002:abnormalities; D002386:Cataract / Q000150:complications*; D002387:Cataract Extraction; D005124:Eye Abnormalities / Q000150:complications; D015785:Eye Diseases, Hereditary; D019466:Glare; D006801:Humans; D007429:Intraocular Pressure; D007903:Lens Capsule, Crystalline / Q000000981:diagnostic imaging; D019654:Lens Implantation, Intraocular; D008297:Male; D033401:Microscopy, Acoustic; D011184:Postoperative Period; D019736:Prostheses and Implants; D016896:Treatment Outcome; D014792:Visual Acuity