title: Combined cataract surgery and aniridia ring implantation in oculocutaneous albinism.
abstract: OBJECTIVE
  To present results of cataract surgery combined with aniridia ring implantation in patients with oculocutaneous albinism (OCA) in terms of vision, refraction, eye movements, and subjective photophobia and glare.
  
  
  METHODS
  Anterior segment services of Noor Eye Hospital, Tehran, Iran.
  
  
  METHODS
  Consecutive clinical case series study.
  
  
  METHODS
  Enrolled patients underwent phacoemulsification and posterior chamber intraocular lens (PC IOL) implantation and had 2 Morcher aniridia rings (types 50 F or 50 E) inserted intracapsularly. Preoperative and postoperative examinations included tests for visual acuity, manifest refraction, measurement of ocular alignment, and electronystagmography. After surgery, patients also completed a questionnaire to subjectively assess glare reduction.
  
  
  RESULTS
  Twelve eyes of 6 OCA patients were included. Minimum follow-up was 6 months. None of the patients had any intraoperative or postoperative complications. In addition to improved uncorrected and corrected distance visual acuity and significant reduction of refractive error, all patients had a marked reduction of glare and photophobia after surgery.
  
  
  CONCLUSIONS
  Iris ring implantation during cataract surgery was an effective procedure for increasing vision and reducing glare disability in patients with OCA. In light of the results and patients' expressed satisfaction, a study should be performed to assess the outcomes of refractive lens exchange along with implantation of a PC IOL and prosthetic iris device in OCA patients seeking refractive correction.
authors.affiliation: From Noor Ophthalmology Research Center, Noor Eye Hospital (Farahi, Hashemi, Mehravaran), Tehran, Iran; Farabi Eye Hospital, Tehran University of Medical Sciences (Hashemi), Tehran, Iran.
authors.forename: Azadeh
authors.initials: A
authors.lastname: Farahi
authors.affiliation: From Noor Ophthalmology Research Center, Noor Eye Hospital (Farahi, Hashemi, Mehravaran), Tehran, Iran; Farabi Eye Hospital, Tehran University of Medical Sciences (Hashemi), Tehran, Iran. Electronic address: hhashemi@norc.ac.ir.
authors.forename: Hassan
authors.initials: H
authors.lastname: Hashemi
authors.affiliation: From Noor Ophthalmology Research Center, Noor Eye Hospital (Farahi, Hashemi, Mehravaran), Tehran, Iran; Farabi Eye Hospital, Tehran University of Medical Sciences (Hashemi), Tehran, Iran.
authors.forename: Shiva
authors.initials: S
authors.lastname: Mehravaran
mesh_terms: D000328:Adult; D000368:Aged; D016115:Albinism, Oculocutaneous / Q000601:surgery*; D015783:Aniridia / Q000601:surgery*; D005133:Eye Movements / Q000502:physiology; D005260:Female; D019466:Glare; D006801:Humans; D019654:Lens Implantation, Intraocular; D008297:Male; D008875:Middle Aged; D018918:Phacoemulsification; D019736:Prostheses and Implants; D019919:Prosthesis Implantation; D012029:Refraction, Ocular / Q000502:physiology; D014786:Vision Disorders / Q000503:physiopathology / Q000517:prevention & control; D014792:Visual Acuity / Q000502:physiology