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.
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.
Department of Ophthalmology, University Eye Hospital Tübingen, Centre of Ophthalmology, Eberhard-Karls University Tübingen,Tübingen, Germany. martin.spitzer@med.unituebingen.de
Martin S
MS
Spitzer
Efdal
E
Yoeruek
Martin A
MA
Leitritz
Peter
P
Szurman
Karl U
KU
Bartz-Schmidt
D000328:Adult; D000368:Aged; D001036:Aphakia, Postcataract / Q000209:etiology / Q000601:surgery*; D015807:Eye Injuries, Penetrating / Q000209:etiology / Q000601:surgery*; D006801:Humans; D007498:Iris / Q000293:injuries*; D019654:Lens Implantation, Intraocular / Q000379:methods*; D007910:Lenses, Intraocular; D008297:Male; D008875:Middle Aged; D019736:Prostheses and Implants; D012029:Refraction, Ocular / Q000502:physiology; D012421:Rupture; D012826:Silicone Elastomers; D013536:Suture Techniques; D014786:Vision Disorders / Q000534:rehabilitation; D014792:Visual Acuity / Q000502:physiology
D012826:Silicone Elastomers