Surgical management of iris defects with prosthetic iris devices
| Autor: | C Liu, I Mavrikakis, P P Syam, J Bell, G P Brittain, J Hickman Casey, E Mavrikakis, A G Casswell |
|---|---|
| Rok vydání: | 2004 |
| Předmět: |
Adult
Male medicine.medical_specialty Visual acuity genetic structures medicine.medical_treatment Visual Acuity Iris Intraocular lens Glare Prosthesis Implantation Lens Implantation Intraocular Ophthalmology medicine Humans Iris (anatomy) Aniridia Aged Retrospective Studies Aged 80 and over Coloboma Phacoemulsification business.industry Prostheses and Implants Cataract surgery Middle Aged medicine.disease Iris coloboma Uveitis Anterior eye diseases Surgery medicine.anatomical_structure Treatment Outcome Iris Diseases Female sense organs medicine.symptom business |
| Zdroj: | Eye (London, England). 19(2) |
| ISSN: | 0950-222X |
| Popis: | To evaluate the safety and efficacy of surgical implantation of prosthetic iris devices in patients with iris deficiency. Nine patients with traumatic iris defects, congenital aniridia or iris coloboma, and surgical or optical iridectomies were included in a noncomparative case series. Cataract surgery with intraocular lens and prosthetic iris implantation was performed in 10 eyes. The visual acuity, subjective degree of glare disability, postoperative anatomic results, and intraoperative and postoperative complications were evaluated. The mean follow-up was 17.75 months (range 4–48 months). Best-corrected visual acuity improved in nine of 10 eyes (90%) and remained unchanged in one eye. Glare subjectively improved in four of five eyes (80%) of patients complaining of glare preoperatively. All eyes achieved the desired anatomic result. Intraoperative complications included one anterior capsular tear. Postoperative complications included a short period of mild postoperative anterior uveitis in four eyes. Secondary glaucoma was absent. In patients with iris deficiency, implantation of prosthetic iris device, and intraocular lens implant following cataract surgery appears to be safe and effective in reducing glare disability and improving visual outcomes. |
| Databáze: | OpenAIRE |
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