Implantation of an artificial iris associated intrascleral intraocular lens after a " blunt " trauma

2019 ◽  
Vol 40 (2) ◽  
pp. 108-110
Author(s):  
M Noel ◽  
A Noel ◽  
B Pion
2018 ◽  
Vol 29 (5) ◽  
pp. NP9-NP13 ◽  
Author(s):  
Shikha Gupta ◽  
Harathy Selvan ◽  
Jyoti Shakrawal ◽  
Viney Gupta

Purpose: To report a case that presented with post blunt trauma cataract, zonular dialysis, cyclodialysis and iridodialysis and its successful single-sitting management. Methods: After lens aspiration, a capsular tension ring and multipiece intraocular lens were placed in the bag to support the zonules, a single eyelet Cionni ring was fixed in the sulcus to provide endocyclotamponade, and iridodialysis repair was done using the ‘stroke and dock technique’. Result: Successful centration of the intraocular lens, closure of the cleft and apposition of the iris root to its base were achieved at the end of the surgery. Conclusion: A single-sitting surgery correcting all the three dialysis can curtail the burden of repeated surgeries and their complications, providing early visual recovery and cost-effectivity.


2020 ◽  
Vol 2020 ◽  
pp. 1-3
Author(s):  
Takayuki Baba ◽  
Hirotaka Yokouchi ◽  
Shuichi Yamamoto

A 37-year-old Japanese man had his right eye hit by a fist. His right eye developed hypotony maculopathy and secondary cataract, and his visual acuity decreased to 20/200 with an intraocular pressure of 4 mmHg. He underwent phacoemulsification and aspiration, implantation of the intraocular lens, and encircling with a silicone tire. His visual acuity improved to 20/20 and stable for more than one year postoperatively. The intraocular pressure in his right eye increased to 12 mmHg, and maculopathy was resolved entirely. It was suggested that an encircling buckle obstructed the uveoscleral outflow through the cyclodialysis and increased intraocular pressure. Concurrent cataract surgery and encircling was sufficient to improve the vision.


2012 ◽  
Vol 5 (1) ◽  
pp. 6-8
Author(s):  
Seung Hoon Oh ◽  
Jae Young Park ◽  
Hye Bin Yim ◽  
Na Young Lee

2021 ◽  
pp. 112067212110056
Author(s):  
Rino Frisina ◽  
Chiara Sofia De Biasi ◽  
Luigi Tozzi ◽  
Irene Gius ◽  
Davide Londei ◽  
...  

The authors describe the surgical techniques to implant a novel intraocular lens with artificial iris (Reper) in patients affected by traumatic aphakia and aniridia. Two surgical approaches are proposed: implantation by suture-loaded cartridge and “open sky” implantation combined with penetrating keratoplasty. The method of establishing the exact position of the scleral fixation points and the pre-assembly of the suture of Reper before its implantation are the main novel proposed surgical procedures. The rationale is to minimize surgical procedures in the anterior chamber and to prevent knot loosening and lens tilting. The simultaneous treatment of aphakia and aniridia with a single prosthesis, the stability of the Reper and the functional, anatomical and aesthetic outcomes obtained are the highlighted advantages in this study.


Cornea ◽  
2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Clemence Bonnet ◽  
Parsia Vazirnia ◽  
Sophie X. Deng ◽  
Anthony J. Aldave ◽  
Kevin M. Miller

2022 ◽  
Vol 38 (1) ◽  
pp. 61-68
Author(s):  
Christian S. Mayer ◽  
Hyeck-Soo Son ◽  
Grzegorz Łabuz ◽  
Isabella D. Baur ◽  
Timur M. Yildirim ◽  
...  

2020 ◽  
Vol 148 (5-6) ◽  
pp. 376-378
Author(s):  
Mladen Bila ◽  
Igor Kovacevic ◽  
Goran Damjanovic ◽  
Jelena Potic ◽  
Jelena Karadzic

Introduction. Dislocation of intraocular lens (IOL) after ocular trauma is an emergency situation requiring prompt surgery. Dislocation of IOL into the subconjunctival space or pseudophacocoele is a rare event after blunt ocular trauma. Case outline. We report a case of a pseudophakic patient with a dislocation of the anterior chamber IOL (ACIOL) into subconjunctival space following blunt trauma to the right eye. A 76-year-old man presented with ACIOL dislocation into subconjunctival space, adapted old scleral wound and preserved corneal integrity. Fifteen years previously he suffered right eye globe rupture after blunt trauma, which was surgically closed and ACIOL was inserted. Conclusion. This case highlights a rare mechanism of ACIOL dislocation into subconjunctival space following blunt ocular trauma with preserved corneal integrity and adapted old scleral wound. In cases of post-traumatic aphakia, IOL dislocation into the subconjunctival space should be suspected.


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