Anterior segment reconstruction and iris loss repair in patients with traumatic aphakia

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.