Posters
Femtosecond laser-assisted cataract surgery (FLACS) and artificial iris insertion in a young patient with congenital aniridia and ectopia lentis
Poster Details
First Author: P. Papadopoulos GREECE
Co Author(s): K. Athanasiou A. Papadopoulos
Abstract Details
Purpose:
To present a case of a 34-year-old patient with bilateral congenital aniridia, ectopia lentis and cataract, operated with FLACS
Setting:
1-Athens Metropolitan Hospital 2-Ophthalmo-Check Eye Center
Methods:
An eccentric capsulorhexis of 4.5 mm was performed on the ectopic lens with femto laser.The soft lens material was aspirated with I/A. A capsular tension ring and a hydrophobic acrylic toric PC IOL was inserted in the bag. An Artificial Iris (Humanoptics, Germany) was trimmed to the dimensions of the eye and placed in the sulcus without suturing. The incision was closed with 3 10-0 Nylon sutures. The left eye was operated two months later with manual technique. The IOL was sutured on the posterior face of the artificial iris, due to absent capsular support.
Results:
Visual acuity of the amblyopic RE improved from 0.05 sc (0.2 ph) to 0.4-sc and 0.5cc at 3 months. The refractive status of the eye changed from -3.5sph -4.00 cyl x 170 preop to 0.00 sph -1.50 cyl x 124 ax at final postop exam. The IOP of the RE was 23mmHg preoperatively. (CCT: 630μ). The patient presented high IOP (35mmHg) after one month and an Ahmed valve was implanted at week 5 after initial surgery. Three months postoperatively the IOP of the right eye was 17 mmHg without medication. The artificial iris was well tolerated without any signs of inflammation. The cosmetic appearance of the patient after bilateral implantation was excellent. The VA of LE was 0.3+cc.
Conclusions:
Femtosecond lasers may be helpful in the creation of eccentric capsulorhexis in complex cases. Implantation of artificial iris may improve the esthetic and functional outcome significantly in aniridic eyes. High postop IOP may be present in eyes with congenital aniridia.
Financial Disclosure:
NONE
