Posters

Surgical challenges in case of multivariated eye diseases in one patient.

Poster Details

First Author: A.Piotrowska-Gwozdz POLAND

Co Author(s):    A. Piotrowska-Gwóźdź   A. Urgacz-Lechowicz   G. Mazur-Piotrowska   Ł. Drzyzga   E. Mrukwa-Kominek        

Abstract Details

Purpose:

The authors present the case of a 50-year-old male patient with congenital aniridia, mature subluxated cataract, secondary glaucoma, hypoplasia of optic nerves and sensoric nystagmus in both eyes. We also present a novel surgical technique for managing an aphakic case with congenital aniridia undergoing transscleral fixation.

Setting:

Department of Ophthalmology Professor K. Gibiński University Clinical Center, Medical University of Silesia, Katowice, Poland

Methods:

Our technique is based on inserting polypropylene suture from one to another side of the sclera wall at the 4 and 8 o’clock meridians. The two sutures are inserted approximately 1,5 mm posterior to the limbus and they are parallel to each other to provide an adequate support for PCIOL stabilization.

Results:

This technique of intraocular lens fixation showed excellent stability, during whole surgery. There was no dislocation of the artificial lens and no severe complications during and after the procedure.

Conclusions:

Patients with congenital aniridia remain a great surgical challenge and they require an individual therapeutic approach in every case. Our technique of IOL fixation provides a stable support for lens and it is a good option to treat patients with cataract and comorbid aniridia.

Financial Disclosure:

None