Document Detail


Simultaneous correction of post-traumatic aphakia and aniridia with the use of artificial iris and IOL implantation.
MedLine Citation:
PMID:  23324893     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Combined post-traumatic aniridia and aphakia demand extensive and complex reconstructive surgery. We present our approach for simultaneous correction of this surgical situation with the use of the ArtificialIris (Dr. Schmidt Intraocularlinsen GmbH, Germany) with a foldable acrylic IOL Lentis L-313 (Oculentis, GmbH, Germany) sutured to its surface. The novelty (our first operation was on June 2010) of this surgical technique is based on the combined use of foldable (with closed haptics) IOL and Artificialiris to correct post-traumatic aniridia and aphakia.
METHODS: Four consecutive cases of combined post-traumatic lesions of iris and lens, corrected with complex device ArtificialIris and foldable IOL. In two cases, the compound implant was sutured to the sclera in sulcus during the penetrating keratoplasty; in another case, it was positioned through a corneal incision of about 5.0 mm with transscleral fixation, and in one patient with preserved capsular support and possibility of IOL in-the-bag implantation the ArtificialIris was placed in sulcus sutureless through a clear corneal tunnel.
RESULTS: Maximal follow-up was 6 months. The complex device was placed firmly fixed within the sulcus, including in the eye implanted without sutures, and showed a stable and centered position without any tilt or torque.
CONCLUSION: Management of post-traumatic aniridia combined with aphakia by haptic fixation of a foldable acrylic IOL on a foldable iris prosthesis appears to be a promising approach which gives the surgeon the possibility to correct a complex lesion with one procedure, which is less traumatic and faster. Existence of foldable materials, both iris and IOL, permits relatively small corneal incisions (4.0-5.0 mm). Moreover, the custom-tailored iris prosthesis gives a perfect aesthetic result.
Authors:
Cesare Forlini; Matteo Forlini; Robert Rejdak; Agata Prokopiuk; Oxana Levkina; Adriana Bratu; Paolo Rossini; Perfecto R Cagampang; Gian Maria Cavallini
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2013-01-17
Journal Detail:
Title:  Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv für klinische und experimentelle Ophthalmologie     Volume:  251     ISSN:  1435-702X     ISO Abbreviation:  Graefes Arch. Clin. Exp. Ophthalmol.     Publication Date:  2013 Mar 
Date Detail:
Created Date:  2013-02-25     Completed Date:  2013-06-27     Revised Date:  2013-10-30    
Medline Journal Info:
Nlm Unique ID:  8205248     Medline TA:  Graefes Arch Clin Exp Ophthalmol     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  667-75     Citation Subset:  IM    
Affiliation:
Department of Ophthalmology, Santa Maria Delle Croci Hospital, Viale V Randi n. 5-48121, Ravenna, Italy. forlinic@forlinic.it
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Aniridia / etiology,  surgery*
Aphakia / etiology,  surgery*
Artificial Organs*
Cataract Extraction
Cornea / injuries
Endotamponade
Eye Injuries, Penetrating / etiology,  surgery*
Humans
Iris*
Keratoplasty, Penetrating
Lens Implantation, Intraocular*
Middle Aged
Silicone Oils / administration & dosage
Vitrectomy
Chemical
Reg. No./Substance:
0/Silicone Oils
Comments/Corrections
Comment In:
Graefes Arch Clin Exp Ophthalmol. 2013 Oct;251(10):2491   [PMID:  23793911 ]
Graefes Arch Clin Exp Ophthalmol. 2013 Oct;251(10):2493-4   [PMID:  23793912 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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