Sutureless Artificial Iris after Phacoemulsification in Congenital Aniridia

Abstract

The ArtificialIris is a promising device for treating photophobia in congenital aniridia. ArtificialIris does not require suture fixation with adequate capsular support and iris remnants.

Clinical and molecular aspects of congenital aniridia – A review of current concepts

“…It was approved by US FDA in 2018 (CustomFlex™ artificial iris). [ 14 15 ] It can be customized to match the color of the remaining iris or the iris of the other eye, providing excellent cosmesis. It is flexible and can be implanted via a small incision.…”

“…It may be possible to place the prosthesis in the ciliary sulcus without suture fixation, depending on the amount of iris stump available. [ 15 ] The artificial iris diaphragm is recommended to be used in aphakic or pseudophakic eyes. Their use in phakic eyes should be avoided to prevent complications such as cataract and corneal decompensation.…”

Bilateral Artificial Iris Implantation In The Patient With Congenital Aniridia, Cataract And Nystagmus. A Case Report.

“…During 24 months of follow-up, patients tolerated contact lenses well. There were no complications such as glaucoma, corneal decompensation, endothelial cell loss or implant displacement, described by other authors in their publications [2]- [6], [8], [9].…”

“…This option increases the risk of implants displacement into the anterior chamber and subsequent irritation of the internal structures of the eye by micro-movements of the eyeball caused by nystagmus. As a complication, the loss of endothelial cells is listed, which can lead to edema and corneal decompensation [2,3]. In addition, the black color of iris implants is not very beneficial from an aesthetic point of view due to the "black iris" effect obtained.…”

“…Therefore, it is difficult to predict the extent of improvement in postoperative visual acuity. In their study E. F. Lopez et al [2] described the case of a 15-year-old girl, in whom, in the eye examination, in addition to the partial aniridia and cataract, significant nystagmus was also observed. Horizontal and rotational movements were partly reduced by convergence.…”