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Case Rep Ophthalmol. 2013 Oct 26;4(3):210-5. doi: 10.1159/000356239. eCollection 2013.

Traumatic partial aniridia and cataract after iris-fixated foldable phakic intraocular lens implantation.

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1
Department of Ophthalmology, Soonchunhyang University, College of Medicine, Seoul, Republic of Korea.

Abstract

We present the first case of partial aniridia, traumatic cataract, and peripapillary subretinal hemorrhage after blunt trauma to an eye containing a foldable iris-fixated phakic intraocular lens (pIOL). Although the patient experienced visual loss because of considerable corneal astigmatism and a traumatic cataract, vision was recovered by a 2-stage primary corneal repair and cataract surgery with a toric intraocular lens. This case exhibits clinical manifestations that differ from previously reported trauma of a non-foldable iris-fixated pIOL. A relatively small corneal incision and a large optic diameter of Artiflex pIOLs may prevent posttraumatic total expulsion of intraocular tissues and present different clinical features from the case of non-foldable pIOLs (Artisan). Although the extent of the damage is different, the possibility of aniridia and traumatic cataract exists in eyes with both foldable and non-foldable iris-fixated pIOLs.

KEYWORDS:

Artiflex phakic intraocular lens; Artisan phakic intraocular lens; Phakic intraocular lens; Traumatic aniridia

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