Abstract:
Introduction: Traumatic aphakia is often associated with anterior chamber
deformities and iris tissue loss. These might cause a still low quality of vision even
after IOL implantation.
Aim of the study: To highlight the surgical techniques of anterior segment
reconstruction and methods of iris tissue loss repair after per secundam IOL
implantation in cases with traumatic aphakia.
Materials and method: We present several cases of unilateral traumatic aphakia
associated with traumatic partial aniridia and adherent leucoma, managed by
artificial iris implantation, anterior chamber reconstruction and IOL implantation.
Results: There were no postoperative complications. Repositioning wasn’t required.
The intraocular pressure and corneal transparency were in normal ranges.
Conclusions: The use of artificial iris proved to be efficient in anterior segment
compartmentalization, as a means of intraocular lens fixation and for cosmetic
recovery. The choice between the implantation of en bloc iris and lens vs a separate
lens depends on the zonular support, aiming to minimize the main corneal incision
during a one-step surgery.
