Results after artifical iris implantation

Session Details

Session Title: Cataract Surgery Special Cases

Session Date/Time: Tuesday 25/09/2018 | 08:00-10:00

Paper Time: 09:12

Venue: Room A3, Podium 1

First Author: : J.Riedl GERMANY

Co Author(s): :    U. Vossmerbaeumer                    

Abstract Details

Purpose:

The artificial iris is used for pupillary reconstruction in patients with partial or complete aniridia. So far, there are just a few case studies and short-term results in the literature. The aim of this study was to investigate the long-term results after the implantation of an artificial iris in regards to the structural and functional outcome as well as patient satisfaction.

Setting:

Prospective case series investigating functional results and patient satisfaction after pupillary reconstruction with implantation of an artificial Iris in the Department of ophthalmology of the University Hospital Mainz

Methods:

57 consecutive patients with traumatic mydriasis, traumatic iris defect, traumatic aniridia, congenital aniridia and Axenfeld-Rieger syndrome who underwent pupillary reconstruction with an artificial iris implant were included in the study Best-corrected visual acuity, intraocular pressure, glare, endothelial cell density, anterior chamber depth and patient satisfaction as well as indications for subsequent surgery were assessed.

Results:

Increased visual acuity as well as a reduction of glare was achieved in 90% of the patients. The majority of the patients reported a marked subjective improvement of the vision, glare, cosmetic outcome and therefore improvement of the quality of life. Complications such as retinal detachment, corneal decompensation and elevation of the intraocular pressure occurred especially in partial or complete aniridia after severe open globe injury.

Conclusions:

The implantation of the artificial iris is an effective therapeutic option for the treatment of traumatic iris defects. Congenital aniridia may also be successfully treated. The results show high patient satisfaction in addition to a good functional outcome. While severely injured eyes showed, as expected, the highest complication rate, the best and most stable results were obtained after traumatic mydriasis.

Financial Disclosure:

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