Implantation of a Black Diaphragm Intraocular Lens in Ten Cases of Post-Traumatic Aniridia

Beltrame, Giorgio; Salvetat, Maria Letizia; Chizzolini, Marzio; Driussi, G B; Busatto, P.; Giorgio, G. Di; Barosco, F.; Scuderi, B

doi:10.1177/112067210301300109

Cited by 41 publications

(42 citation statements)

References 6 publications

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“…17,18 The implantation of a black diaphragm IOL, made of poly(methyl methacrylate) and positioned in the posterior chamber, has been frequently used and described. 4,19 However, the use of an artificial iris implant was introduced only recently. These implants are positioned in the capsular bag 18 or ciliary sulcus 17 or secured in the posterior chamber by scleral sutures.…”

Section: Discussionmentioning

confidence: 99%

Safety of an artificial iris in a phakic eye

Magnus

Trau

Mathysen

et al. 2012

Journal of Cataract and Refractive Surgery

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This case report describes the one-year results of the implantation of a sectorial and foldable artificial iris in a phakic eye. To our knowledge, this is the first such report with a follow-up of 1 year. No perioperative or postoperative complications were seen. Corrected distance visual acuity remained unchanged (left eye, 1.5/10), the subjective complaints of glare and photophobia improved considerably, and the patient was very satisfied with the aesthetic result.

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Section: Discussionmentioning

confidence: 99%

Safety of an artificial iris in a phakic eye

Magnus

Trau

Mathysen

et al. 2012

Journal of Cataract and Refractive Surgery

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“…[2][3][4]10,12,15 Tanzer and Smith 11 reported 3C anterior chamber cells and flare, which were treated aggressively with prednisolone acetate and subsided. Beltrame et al 4 reported postoperative persistent intraocular inflammation in 4 eyes, which disappeared within 3 months using topical steroids. No prolonged anterior chamber inflammation was documented in our series.…”

Section: Discussionmentioning

confidence: 99%

Transscleral fixation of a black diaphragm intraocular lens in severely traumatized eyes requiring vitreoretinal surgery

Özbek¹,

Kaynak²,

Zengin³

2007

Journal of Cataract and Refractive Surgery

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The records of 4 eyes of 4 patients who had transscleral fixation of black diaphragm intraocular lenses (IOLs) after vitreoretinal surgery due to complications of severe perforating trauma were retrospectively reviewed. The transscleral fixation was performed 4 to 13 months after the vitreoretinal surgery. All patients reported a subjective decrease in glare and photophobia, with improved visual acuity in 2 eyes during a mean follow-up of 3 years. Cystoid macular edema was noted in 1 eye and transitory intraocular pressure elevation due to intraocular silicone oil in 1 eye. Severe perforating eye injury is frequently associated with extensive iris defects and lenticular and vitreoretinal complications. Although visual acuity may not be the primary concern in these eyes, favorable visual rehabilitation can be achieved following proper management of the retinal complications and transscleral fixation of black diaphragm IOLs to overcome glare and photophobia.

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“…Aside from esthetic aspects, partial or total loss of iris tissue may also be related to various degrees of glare, photophobia, and visual impairment. In patients with major iris defects, an artificial iris prosthesis provides satisfactory anterior segment reconstruction with a remarkable functional outcome (3)(4)(5)(6)(7)(8)(9)(10) . Various implants have been developed for the treatment of aphakia with aniridia.…”

Section: Discussionmentioning

confidence: 99%

“…Various implants have been developed for the treatment of aphakia with aniridia. Some authors reported on effective and safe surgical intervention with Morcher black-diaphragm IOL (Morcher 67F BDI, Morcher GmBH, Stuttgart, Germany) for the treatment of both total or partial aniridia in aphakic cases (6,7) . The Ophtec iris reconstruction lens with the color options of brown, blue, and green (Ophtec USA, Boca Raton, FL, USA) has also been reported to provide better cosmetic outcomes as well as remarkable visual improvement (8,9) .…”

Section: Discussionmentioning

confidence: 99%

Combined transscleral fixation of an artificial iris prosthesis with an intraocular lens

Günenç¹,

Öztürk²,

Arıkan³

et al. 2016

Arquivos Brasileiros De Oftalmologia

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Post-traumatic aniridia combined with aphakia may be seen after globe injury. Aside from esthetic aspects, partial or total loss of the iris tissue may also be related to various degrees of glare and photophobia. Such patients suffer from severe visual impairment secondary to aphakia. Herein we describe a novel surgical technique for the management of an aphakic eye with traumatic aniridia for a patient who underwent transscleral fixation of a custom-tailored artificial iris prosthesis combined with a rigid intraocular lens (IOL). Tight suturing of the IOL haptic eyelets on the silicone iris prosthesis and fixation of such a complex to the scleral wall may provide excellent cosmetic and functional outcomes in aphakic eyes with aniridia.

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Implantation of a Black Diaphragm Intraocular Lens in Ten Cases of Post-Traumatic Aniridia

Cited by 41 publications

References 6 publications

Safety of an artificial iris in a phakic eye

Safety of an artificial iris in a phakic eye

Transscleral fixation of a black diaphragm intraocular lens in severely traumatized eyes requiring vitreoretinal surgery

Combined transscleral fixation of an artificial iris prosthesis with an intraocular lens

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