title: Results and complications after implantation of a black iris-lens diaphragm in patients with traumatically induced aphakia and aniridia.
abstract: OBJECTIVE
  The black iris-lens diaphragm (ILD) can be used in the treatment of traumatic aniridia and aphakia. The aim of our study was to show postoperative functional and anatomic results and complications in a small case series.
  
  
  METHODS
  We retrospectively analyzed the files of 16 patients managed with a black ILD or a sole iris diaphragm in the period 1994-2007. Four of them were female and 12 were male. The mean age of the group was 50±17 years. At the time of the implantation, all of the eyes had already undergone primary surgical repair.
  
  
  RESULTS
  The preoperative best-corrected visual acuity in half of the patients was =0.1 and remained stable after the first postoperative year. During the follow-up years, one eye developed a subluxation of the implant and one eye an anterior chamber hemorrhage. At the same time, out of 8 eyes carrying a silicone tamponade in the vitreous cavity, silicone oil entered the anterior chamber in 3 cases. In one case, enucleation was undertaken due to phthisis.
  
  
  CONCLUSIONS
  In the case of severely traumatized eyes with aniridia and aphakia, the implantation of a black ILD can have a positive effect on functional and anatomic stabilization.
authors: Department of Ophthalmology, Charité-Campus Benjamin Franklin, Berlin, Germany. vpetousis@gmail.com
authors: Vasileios
authors: V
authors: Petousis
authors: Lothar
authors: L
authors: Krause
authors: Gregor
authors: G
authors: Willerding
authors: Michael H
authors: MH
authors: Foerster
authors: Nikolaos E
authors: NE
authors: Bechrakis
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001187:Artificial Organs; D002386:Cataract / Q000209:etiology; D058450:Endotamponade; D015807:Eye Injuries, Penetrating / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007498:Iris / Q000293:injuries*; D019654:Lens Implantation, Intraocular; D007908:Lens, Crystalline / Q000293:injuries*; D007910:Lenses, Intraocular; D008297:Male; D008875:Middle Aged; D011474:Prosthesis Design; D019591:Pseudophakia / Q000503:physiopathology; D012189:Retrospective Studies; D012827:Silicone Oils; D016896:Treatment Outcome; D014792:Visual Acuity / Q000502:physiology; D055815:Young Adult
chemical_list: D012827:Silicone Oils