Scleral fixation intraocular lens as a barrier for silicone oil in traumatic aphakia, aniridia, and recurrent retinal detachment:case report.
OBJECTIVE
We report a patient with recurrent retinal detachment complicated with traumatic aniridia and aphakia, which was successfully managed by scleral fixation polymethyl methacrylate posterior chamber intraocular lens (PMMA PCIOL) and vitrectomy with silicon oil tamponade.


METHODS
Interventional case report.


RESULTS
A 35-year-old man with traumatic aniridia, aphakia, and recurrent retinal detachment who received the combined surgery of scleral fixation PMMA PCIOL and vitrectomy with silicon oil tamponade. The patient had favorable visual outcome. The retina was reattached and the cornea remained clear without silicon oil in the anterior chamber after 1 year.


CONCLUSIONS
The scleral fixation PMMA PCIOL can retain the silicone oil in the vitreous cavity for reattaching the retina and can also protect the corneal endothelium from contact with the silicone oil in the case of aniridia, aphakia, and retinal detachment.
From the *Department of Ophthalmology, Changhua Christian Hospital, Taiwan; †School of Medicine, Chung Shan Medical University, Taichung, Taiwan; and ‡Department of Optometry, Chung Hwa University of Medical Technology, Taiwan.
Chien-Chi
CC
Tseng
San-Ni
SN
Chen
Jiunn-Feng
JF
Hwang
Chang-Ping
CP
Lin
Chun-Ju
CJ
Lin