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Eye (Lond). 2019 Mar;33(3):358-362. doi: 10.1038/s41433-018-0202-4. Epub 2018 Sep 12.

A new knotless technique for combined transscleral fixation of artificial iris, posterior chamber intraocular lens, and penetrating keratoplasty.

Author information

1
Department of Ophthalmology, Eberhard-Karls University, Tuebingen, Germany. Efdal.Yoeruek@googlemail.com.
2
Department of Ophthalmology, Eberhard-Karls University, Tuebingen, Germany.

Abstract

PURPOSE:

To present a new surgical technique for treating corneal opacity and aniridia with aphakia and the results in a small consecutive case series.

METHODS:

A three-piece acrylic intraocular lens (IOL) was attached to a customized silicone iris prosthesis and fixed with three 10-0 polypropylene sutures in a knotless technique using Z-sutures after trephination of the recipient cornea. The medical records of all consecutive patients who had received a keratoplasty and an implantation of an artificial iris and IOL were reviewed.

RESULTS:

Five eyes of five patients were included in the analysis. The mean age of the patients was 46.2 years and the mean follow-up was 24.6 months. The mean best-corrected visual acuity improved from 1.36 logMAR before surgery to 0.78 logMAR after surgery during the follow-up. At the last follow-up visit, the artificial iris-IOL complex was well centered with good positioning in all cases.

CONCLUSIONS:

Management of post-traumatic aniridia combined with aphakia and corneal scars or graft failure by haptic fixation of a foldable IOL on an artificial iris combined with a simultaneous keratoplasty appears to be a promising approach, which allows to correct a complex lesion with a less traumatic and faster procedure.

PMID:
30209266
PMCID:
PMC6460692
[Available on 2020-03-01]
DOI:
10.1038/s41433-018-0202-4

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