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- Title
Custom-Made Artificial Iris and Toric-Intraocular Lens Intrascleral Flange Fixation: A Case Report.
- Authors
Moshkovsky, Ran; Megiddo-Barnir, Elinor; Kleinmann, Guy
- Abstract
Different techniques for artificial iris implantation with or without an intraocular lens, depending on lens status, are described in the literature. We describe a surgical technique for a custom-made artificial iris and toric-intraocular lens intrascleral flange fixation. We modified the "Backpack" artificial iris implantation surgical technique to facilitate an accurate alignment of the toric-intraocular lens in a patient with aphakia, aniridia, and high asymmetric astigmatism secondary to blunt trauma. Two months after the surgery, uncorrected visual acuity was 20/30, corrected to 20/25 with a refraction of −2.00 in the diopter sphere with no residual astigmatism. The artificial iris implant and toric-intraocular lens were well-centered. The patient was satisfied with the visual and cosmetic outcomes. This procedure, however, is not complication-free as our patient developed uveitis and increased intraocular pressure during the postoperative period, which was treated successfully.
- Subjects
IRIS (Eye); ASTIGMATISM; PHOTOREFRACTIVE keratectomy; IRIS (Eye) diseases; ARTIFICIAL implants; INTRAOCULAR pressure; INTRAOCULAR lenses; FLANGES
- Publication
Medicina (1010660X), 2024, Vol 60, Issue 6, p865
- ISSN
1010-660X
- Publication type
Case Study
- DOI
10.3390/medicina60060865