title: Results in Combined Cataract Surgery With Prosthetic Iris Implantation in Patients With Previous Iridocyclectomy for Iris Melanoma.
abstract: OBJECTIVE
  To present visual and functional results following implantation of iris prosthesis combined with cataract surgery in eyes with previous iridocyclectomy for iris melanoma or presumed iris melanoma.
  
  
  METHODS
  Retrospective noncomparative case series.
  
  
  METHODS
  Sixteen patients (16 eyes) with iris defects after iridocyclectomy for iris melanoma in 15 cases and iris adenoma in 1 case underwent prosthetic iris device implantation surgery. Prosthetic iris implantation was combined with phacoemulsification and intraocular lens (IOL) implantation. The visual acuity, subjective glare and photophobia reduction, anatomic outcome, and complications were reviewed.
  
  
  RESULTS
  Best-corrected visual acuity was improved in 13 eyes (81.25%), remained stable in 2 eyes (12.25%), and decreased in 1 eye (6.25%). Photophobia and glare improved in every case except for 1 (93.75%). Notably, after surgery 12 patients (75.00%) reported no photophobia and 10 patients (62.50%) reported no glare. The median postoperative follow-up was 29.5 months, with a minimum of 5 months and a maximum of 189 months. All iris devices were in the correct position, and all eyes achieved the desired anatomic result. The IOL optic edges were covered in all areas by either residual iris or opaque portions of a prosthetic iris device.
  
  
  CONCLUSIONS
  In patients who have undergone previous iridocyclectomy for presumed iris melanoma, combined cataract surgery and iris prosthesis placement, with or without iris reconstruction, can lead to visual improvement as well as reduction of both glare and photophobia.
authors.affiliation: Department of Ophthalmology, University of Cincinnati and Cincinnati Eye Institute, Cincinnati, Ohio. Electronic address: msnyder@cincinnatieye.com.
authors.forename: Michael E
authors.initials: ME
authors.lastname: Snyder
authors.affiliation: Department of Ophthalmology, University of Cincinnati and Cincinnati Eye Institute, Cincinnati, Ohio.
authors.forename: Robert H
authors.initials: RH
authors.lastname: Osher
authors.affiliation: Department of Ophthalmology, University of Cincinnati and Cincinnati Eye Institute, Cincinnati, Ohio.
authors.forename: Trisha M
authors.initials: TM
authors.lastname: Wladecki
authors.affiliation: Department of Ophthalmology, University of Cincinnati and Cincinnati Eye Institute, Cincinnati, Ohio.
authors.forename: Mauricio A
authors.initials: MA
authors.lastname: Perez
authors.affiliation: Department of Ophthalmology, University of Cincinnati and Cincinnati Eye Institute, Cincinnati, Ohio.
authors.forename: James J
authors.initials: JJ
authors.lastname: Augsburger
authors.affiliation: Department of Ophthalmology, University of Cincinnati and Cincinnati Eye Institute, Cincinnati, Ohio.
authors.forename: Zélia
authors.initials: Z
authors.lastname: Corrêa
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D002386:Cataract / Q000150:complications*; D002387:Cataract Extraction / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D032801:Iridectomy / Q000379:methods*; D007498:Iris / Q000601:surgery*; D015811:Iris Neoplasms / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D008545:Melanoma / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D008875:Middle Aged; D011474:Prosthesis Design; D019919:Prosthesis Implantation / Q000379:methods*; D012189:Retrospective Studies; D016896:Treatment Outcome; D014792:Visual Acuity