OJOph  Vol.2 No.2 , May 2012
Iris Repair after Long-Term Complications of Angle-Supported Phakic Intraocular Lenses
Author(s) Camille Budo
ABSTRACT
We report the case of a high myopic patient who had been implanted with angle-supported phakic intraocular lenses (pIOL) in 1990 and who subsequently and gradually developed complications in both eyes including endothelial cell loss, chronic glaucoma, cataract, pupil ovalization and severe iris atrophy. The patient was impaired by photophobia, glare, halo, loss in visual acuity and concerned about the cosmetically deforming aspect of her eyes. Cataract surgery was performed after explantation of the pIOL followed by combined implantation of a standard IOL in the capsular bag and a Dr Schmidt artificial iris in the sulcus. There were no intraoperative and postoperative complications except slight bilateral corneal oedema which resolved completely within 1 month after surgery. Uncorrected and corrected visual acuity improved progressively to reach 0.3 and 0.6 at the last follow-up visit (±1 year), respectively. The patient was very satisfied with the functional and aesthetical outcomes.

Cite this paper
C. Budo, "Iris Repair after Long-Term Complications of Angle-Supported Phakic Intraocular Lenses," Open Journal of Ophthalmology, Vol. 2 No. 2, 2012, pp. 40-43. doi: 10.4236/ojoph.2012.22010.
References
[1]   S. E. Burk, A. P. Da Mata, M. E. Snyder, R. J. Cionni, J. S. Cohen and R. H. Osher, “Prosthetic Iris Implantation for Congenital, Traumatic, or Functional Iris Deficiencies,” Journal of Cataract and Refractive Surgery, Vol. 27, No. 11, 2001, pp.1732-1740. doi:10.1016/S0886-3350(01)01124-5

[2]   I. Mavrikakis and J. M. Casey, “Phacoemulsification and Endocapsular Implantation of An Artificial Iris Intraocular Lens in Traumatic Cataract and Aniridia,” Journal of Cataract and Refractive Surgery, Vol. 28, No. 7, 2002, pp. 1088-1091. doi:10.1016/S0886-3350(02)01331-7

[3]   G. Beltrame, M. L. Salvetat, M. Chizzolini, G. B. Driussi, P. Busatto, G. Di Giorgio, F. Barosco and B. Scuderi, “Implantation of A Black Diaphragm Intraocular Lens in Ten Cases of Post-Traumatic Aniridia,” European Journal of Ophthalmology, Vol. 13, No. 1, 2003, pp. 62-68.

[4]   J. L. Menezo, R. Martínez-Costa, A. Cisneros and M. C. Desco, “Implantation of Iris Devices in Congenital and Traumatic Aniridias: Surgery Solutions and Complications,” European Journal of Ophthalmology, Vol. 15, No. 4, 2005, pp. 451-457.

[5]   N. A. Pozdeyeva, N. P. Pashtayev, V. P. Lukin and Y. N. Batkov, “Artificial Iris-Lens Diaphragm in Reconstructive Surgery for Aniridia and Aphakia,” Journal of Cataract and Refractive Surgery, Vol. 31, No. 9, 2005, pp. 1750-1759. doi:10.1016/j.jcrs.2005.02.037

[6]   R. S. Mashor, I. Bahar, I. Kaiserman, A. L. Berg, A. Slomovic and D. S. Rootman, “Combined Penetrating Keratoplasty and Implantation of Iris Prosthesis Intraocular Lenses after Ocular Trauma,” Journal of Cataract and Refractive Surgery, Vol. 37, No. 3, 2011, pp. 582-587. doi:/10.1016/j.jcrs.2010.10.038

[7]   T. Kohnen, D. Kook, M. Morral and J. L. Güell, “Phakic Intraocular Lenses: Part 2: Results and Complications,” Journal of Cataract and Refractive Surgery, Vol. 36, No. 12, 2010, pp. 2168-2194. doi:10.1016/j.jcrs.2010.10.007

 
 
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