Dr. PURVA VALVEKAR

Dr. S.NATARAJAN

Abstract

A 52Y myopic Caucasian female sustained blunt trauma to RE eye, resulting in massive VH with IOL & iris expulsion. After 24 days, she suffered from another blunt trauma to LE eye leading to identical pathology. Both eyes were treated similarly with immediate vitrectomy & primary wound repair. However, aniridia caused unpleasant photophobia, dizziness along with cosmetic issues. Later, she underwent B/L simultaneous artificial iris (AI) implantation. AI was trephined to 11mm, 3 suture points were marked, small cut were given on silicone surface.Corresponding partial thickness scleral flaps are made.Long curved needle with 10.0 polypropylene is inserted through superior limbal incision & retrieved in scleral pockets at 4 o’clock & 8 o’ clock position.Folded AI is inserted from superior 3 mm incision kept in Busin glide.Yearly F/u, showed well centered AI with open iridocorneal angle. Simultaneous B/L intervention successfully relieved symptoms & provided a satisfactory cosmetic outcome.

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