 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
Program list |
Trans-scleral sutured aniridia lens implantation in vitrectomised eyes
with substantial iris defect due to trauma
Nilufer Koçak, Suleyman Kaynak, Zeynep Ozbek, Hakan F. Oner, Aylin
Yaman, Guray Cingil
Turkey
Purpose: To discuss trans-scleral sutured aniridia lens implantation in
vitrectomised eyes with substantial iris defect due to trauma.
Setting: Department of Ophthalmology, Dokuz Eylul University School of
Medicine, Izmir-TURKEY
Methods: Two eyes of two patients were described .Case 1: 46-year-old
male had undorgone corneal perforation reparation in June 2000. Traumatic
cataract, vitreus hemorrhage and endophthalmitis ensued in two months.
Scleral buckling, lensectomy, pars plana vitrectomy and silicone surgery
were performed due to traumatic cataract, vitreous hemorrhage, endophthalmitis
and retinal detachment. Silicone removal was then performed two months
later. Since best corrected visual acuity was 0.3 during follow-up, trans-scleral
sutured aniridia lens implantation was performed in March 2001. Case 2:
32-year-old male had scleral perforation reparation after a blunt trauma
in November 2000. He had total hyphema. He then underwent scleral buckling,
pars plana vitrectomy, lensectomy and silicone surgery due to traumatic
lens luxation, vitreous hemorrhage and retinal detachment one month later.
Since his best corrected visual acuity was 0.2, trans-scleral sutured
aniridia lens implantation together with silicone removal was performed
in October 2001
Results: In the first case visual acuity remained stable at 0.4 during
1 year follow-up while it was 0.3 during 6 month follow-up in the second
case. No prolonged inflammation, choroidal hemorrhage, hypotonia, cystoid
macular edema, glaucoma or suture exposure was experienced. Contrast sensitivity
was better and glare and photofobia were less after the surgery
Conclusion: Trans-scleral sutured aniridia lens implantation may offer
a good option for visual rehabilitation and reconstruction of the pupil
in vitrectomised eyes with substantial iris defect due to severe trauma.