A Case of Foldable Artificial Iris Implantation for Treatment of Postcataract Surgery Aniridia

Abstract

We report an approach for managing acquired aniridia induced by intraoperative floppy iris syndrome (IFIS) during cataract surgery. An 81-year-old man with right blurred vision and photophobia symptoms was treated for extensive iris defects due to cataract surgery aniridia. The retained iris for the patient was observed at the 5–10 o’clock position, with the intraocular lens (IOL) inside the capsular bag. Although the aniridia symptoms were successfully addressed by the implantation of a foldable artificial iris (Iris Prosthesis: Ophtec [formerly Reper], Groningen, the Netherlands), the procedure subsequently caused endothelial damage. In summary, while the utilization of the foldable artificial iris can improve aniridia symptoms, further advances in the insertion technique are required.

Supporting suture combined scleral fixation of toric IOL implantation in traumatic aniridia, aphakia and corneal astigmatic eye: a case report

“…To our knowledge, this is the first published report of suture combined scleral fixation of toric IOL implantation in traumatic aniridia, aphakia and corneal astigmatic eye. It is often necessary to implant a black diaphragm IOL or fix iris prosthesis and IOL to the sclera to provide stable position without tilt or torque [4][5] . However, in order to observe the fundus clearly, we decided to implant the toric IOL without artificial diaphragm at the first stage.…”