A new knotless technique for combined transscleral fixation of artificial iris, posterior chamber intraocular lens, and penetrating keratoplasty

Abstract

Management of post-traumatic aniridia combined with aphakia and corneal scars or graft failure by haptic fixation of a foldable IOL on an artificial iris combined with a simultaneous keratoplasty appears to be a promising approach, which allows to correct a complex lesion with a less traumatic and faster procedure.

Safety and efficacy of custom foldable silicone artificial iris implantation: prospective compassionate-use case series

“…The functional outcomes and complications of custom artificial iris implantation have been published in a few reports, mostly European and retrospective. [6][7][8][9][10][11][12] The aim of this prospective, consecutive surgical case series is to report our experience in the United States with custom artificial iris implantation in eyes with large iris. These eyes were implanted before the FDA clinical trial was initiated.…”

Novel surgical technique of sutureless artificial iris and intraocular lens scleral fixation using Yamane technique

“…sutured transsclerally (CV-8 Gore-Tex, cow hitch knot at haptic eyelets, 4-point fixation) 6 n = 1 2020 Riedl JC et al 35 HumanOptics Customflex Artificialiris (n/a) Various techniques inter alia: Sutureless: enclavation of iris fixated IOL (“Sandwich-Implantat”) Sutured? (“Hybridimplantation”) Various techniques inter alia: Sulcus ciliaris, sutureless behind residual iris Sulcus ciliaris, sutured transsclerally (10-0 polypropylene) 41 n = 51 2020 Sousa Silva R et al 10 HumanOptics Customflex Artificialiris (with fiber) Sutured: through IOL eyelets (10-0 polypropylene) Sulcus ciliaris, sutured transsclerally (7-0 CV-8 Gore-Tex) 6 n = 4 2020 Wang et al 7 Ophtec Model 311 Iris Reconstruction Lens Combined implant by manufacturer Various techniques inter alia: Sulcus ciliaris, sutureless Sulcus ciliaris sutured transsclerally (9-0 polypropylene, scleral flaps as needed) 60 n = 38 2020 Wolf A et al 12 HumanOptics Customflex Artificialiris (n/a) Sutured: pierced through IOL plate haptic edges (4-point fixation) Sulcus ciliaris, sutured transsclerally (Hoffman scleral pockets) 1–6 n = 2 2019 Yoeruek E et al 25 HumanOptics Customflex Artificialiris (n/a) Sutureless: 3-piece IOL haptics directly through 0.9mm stab incisions (“belt-loop”) Sulcus ciliaris (? ), sutured transsclerally (10-0 polypropylene, Z-suture, 3-point fixation) 25 n = 5 2017 Mayer C et al 16 HumanOptics Customfle...…”

Complete anterior segment reconstruction: Corneal transplantation and implantation of an iris prosthesis and IOL in a single surgery

“…The authors used the same ArtificialIris that we used but different models of IOL, and they found a good visual rehabilitation as well as a satisfying cosmetic result. Yoeruek et al 5 treated five patients with combined AI + IOL implantation and keratoplasty. They observed an increase in BCDVA, reduction of glare sensitivity and a stable position of the implants in all cases.…”