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This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright
© Farideh Doroodgar, Mahmoud Jabbarvand, Feazollah Niazi, Sana Niazi, Azad Sanginabadi, 2019
Affiliations
Farideh Doroodgar
Farabi eye hospital, Tehran University of Medical Sciences, Qazvin square, South Kargar avenue, Tehran, Iran
Mahmoud Jabbarvand
Affiliation not stated
Feazollah Niazi
Affiliation not stated
Sana Niazi
Affiliation not stated
Azad Sanginabadi
Affiliation not stated
How to Cite
Implantation of ArtificialIris, a CustomFlex® iris prosthesis, in a trauma patient with an Artisan lens
Vol 16 No 4 (2019): Asian Journal of Opthalmology
Submitted: Dec 29, 2016
Published: Nov 23, 2019
Abstract
Purpose: To evaluate probable complications of ArtificialIris implantation with iris-fixated intraocular lens.
Method: Development of photophobia, glare, and psychological strain during face-to-face communication in a 23-year-old man with a widespread traumatic iris defect terminate to make a decision for performing implantation an ArtificialIris (HumanOptics, Erlangen, Germany) under the remnant iris without removing the patient’s existing Artisan lens.
Results: Without any intraoperative or postoperative complications, the patient’s visual acuity increased by one line, the endothelial cell loss was comparable with the cell loss associated with standard cataract surgery, and the anterior chamber depth and anterior chamber anatomy did not change. At the final follow-up examination, the mean intraocular pressure (IOP) did not differ from baseline, and we achieved high level of patient satisfaction and subjective vision improvement. We discuss the particular importance of considering the patient’s expectations, the appropriate measurements, ways to perfect color evaluation, and the types of ArtificialIris products.
Conclusion: The implantation of the ArtificialIris in patients with aphakic iris-supported lenses (i.e., preexisting Artisan lenses) is a feasible approach and a useful option for patients with thin irises and iris hypoplasia who are at risk of subluxation or the dislocation of the PCIOL as well as those with sclerally fixed PCIOLs.