First Author: J.Cazal SPAIN
Co Author(s): C. Verges Roger
Purpose:
We report the case of Anterior Chamber Angle Supported Aphakic IOL causing Pupil Ovalization, Chronic Uveitis and ocular pain , to solve we exchanged it for an Iris Claw ARTISAN Aphakic IOL
Setting:
Area Oftalmológica Avanzada, Barcelona.NO FINANTIAL INTEREST
Methods:
Main Complaint: Left Eye with Chronic Ocular Pain,
Past Ocular Hx: OU Facorefractive surgery in Switzerland 20 years ago
OD Posterior Chamber IOL
OS Anterior Chamber Angle Suported IOL, Pupil ovalization, Sectorial Iris Atrophy.
Subjective Rx
OD -2,25 sph-0.5cyl @ 120ŗ BCVA (0.8 -1)
OS -0,5 sph-2.25cyl@ 90ŗ BCVA (0.8)
Visual FIelds, AS OCT, Endothelial Cell count and AS Tomography were performed
Results:
18 moths follow up show OD -2. 00 sph BCVA (0.8 -1)
O Plano -1,50 cyl @ 35ŗ BCVA ( 0.8) .
Endothelial cell count 4% loss. Completely FREE OF PAIN , NO AC CHAMBER CELL REACTION
Conclusions:
Iris Fixation Aphakic IOL is a safe and efective alternative to manage chronic Ocular pain and Iris atrophy secondarly to Oversized AC Angle Supported IOL FINANCIAL DISCLOSURE?: No
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