title: Simultaneous correction of post-traumatic aphakia and aniridia with the use of artificial iris and IOL implantation.
abstract: BACKGROUND
  Combined post-traumatic aniridia and aphakia demand extensive and complex reconstructive surgery. We present our approach for simultaneous correction of this surgical situation with the use of the ArtificialIris (Dr. Schmidt Intraocularlinsen GmbH, Germany) with a foldable acrylic IOL Lentis L-313 (Oculentis, GmbH, Germany) sutured to its surface. The novelty (our first operation was on June 2010) of this surgical technique is based on the combined use of foldable (with closed haptics) IOL and Artificialiris to correct post-traumatic aniridia and aphakia.
  
  
  METHODS
  Four consecutive cases of combined post-traumatic lesions of iris and lens, corrected with complex device ArtificialIris and foldable IOL. In two cases, the compound implant was sutured to the sclera in sulcus during the penetrating keratoplasty; in another case, it was positioned through a corneal incision of about 5.0 mm with transscleral fixation, and in one patient with preserved capsular support and possibility of IOL in-the-bag implantation the ArtificialIris was placed in sulcus sutureless through a clear corneal tunnel.
  
  
  RESULTS
  Maximal follow-up was 6 months. The complex device was placed firmly fixed within the sulcus, including in the eye implanted without sutures, and showed a stable and centered position without any tilt or torque.
  
  
  CONCLUSIONS
  Management of post-traumatic aniridia combined with aphakia by haptic fixation of a foldable acrylic IOL on a foldable iris prosthesis appears to be a promising approach which gives the surgeon the possibility to correct a complex lesion with one procedure, which is less traumatic and faster. Existence of foldable materials, both iris and IOL, permits relatively small corneal incisions (4.0-5.0 mm). Moreover, the custom-tailored iris prosthesis gives a perfect aesthetic result.
authors: Department of Ophthalmology, Santa Maria Delle Croci Hospital, Viale V Randi n. 5-48121, Ravenna, Italy. forlinic@forlinic.it
authors: Cesare
authors: C
authors: Forlini
authors: Matteo
authors: M
authors: Forlini
authors: Robert
authors: R
authors: Rejdak
authors: Agata
authors: A
authors: Prokopiuk
authors: Oxana
authors: O
authors: Levkina
authors: Adriana
authors: A
authors: Bratu
authors: Paolo
authors: P
authors: Rossini
authors: Perfecto R
authors: PR
authors: Cagampang
authors: Gian Maria
authors: GM
authors: Cavallini
mesh_terms: D000293:Adolescent; D015783:Aniridia / Q000209:etiology / Q000601:surgery*; D001035:Aphakia / Q000209:etiology / Q000601:surgery*; D001187:Artificial Organs; D002387:Cataract Extraction; D065306:Corneal Injuries; D058450:Endotamponade; D015807:Eye Injuries, Penetrating / Q000209:etiology / Q000601:surgery*; D006801:Humans; D007498:Iris; D015948:Keratoplasty, Penetrating; D019654:Lens Implantation, Intraocular; D008875:Middle Aged; D012827:Silicone Oils / Q000008:administration & dosage; D014821:Vitrectomy
chemical_list: D012827:Silicone Oils