Bilateral Artificial Iris implantation in patients with bilateral iris defects
Purpose: Binocular traumatic or atraumatic iris defects can lead to an increased sensitivity to glare and cosmetic disfigurement. Surgical iris reconstruction is one approach to alleviate these problems. We report the clinical outcomes after medically indicated bilateral implantation of an Artificia...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2021-06-01
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| Series: | American Journal of Ophthalmology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2451993621001171 |
| _version_ | 1819067091393708032 |
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| author | Christian Steffen Mayer Isabella Diana Baur Julia Storr Ramin Khoramnia |
| author_facet | Christian Steffen Mayer Isabella Diana Baur Julia Storr Ramin Khoramnia |
| author_sort | Christian Steffen Mayer |
| collection | DOAJ |
| description | Purpose: Binocular traumatic or atraumatic iris defects can lead to an increased sensitivity to glare and cosmetic disfigurement. Surgical iris reconstruction is one approach to alleviate these problems. We report the clinical outcomes after medically indicated bilateral implantation of an Artificial Iris prosthesis in three patients with binocular iris defects with different etiologies. Observations: All three patients underwent binocular CUSTOMFLEX ArtificialIris (AI) (HumanOptics AG, Erlangen, Germany) implantation with simultaneous cataract surgery. Corrected distance visual acuity (CDVA), manifest refraction, Contrast sensitivity, endothelial cell density and subjective visual impairment as well as subjective cosmetic disfigurement were measured pre- and postoperatively. CDVA remained stable or improved in all three patients. We observed an increase in contrast sensitivity and reduction of glare sensitivity in two patients. All patients reported satisfaction with the cosmetical result after the implantation. Conclusions and importance: The bilateral Artificial Iris implantation is an effective therapeutic option to reduce glare sensitivity and to achieve an aesthetically pleasing result also in selected patients with binocular traumatic or atraumatic iris defects. |
| first_indexed | 2024-12-21T16:12:44Z |
| format | Article |
| id | doaj.art-3f75f2a16dce4431b4f1d8f35636aa72 |
| institution | Directory Open Access Journal |
| issn | 2451-9936 |
| language | English |
| last_indexed | 2024-12-21T16:12:44Z |
| publishDate | 2021-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | American Journal of Ophthalmology Case Reports |
| spelling | doaj.art-3f75f2a16dce4431b4f1d8f35636aa722022-12-21T18:57:45ZengElsevierAmerican Journal of Ophthalmology Case Reports2451-99362021-06-0122101108Bilateral Artificial Iris implantation in patients with bilateral iris defectsChristian Steffen Mayer0Isabella Diana Baur1Julia Storr2Ramin Khoramnia3Department of Ophthalmology, University of Heidelberg, Heidelberg, GermanyDepartment of Ophthalmology, University of Heidelberg, Heidelberg, GermanyOphthalmology Clinic and Polyclinic, Technical University of Munich, Munich, GermanyDepartment of Ophthalmology, University of Heidelberg, Heidelberg, Germany; Corresponding author. Universitätsaugenklinik Heidelberg, Im Neuenheimer Feld 400, 69120, Heidelberg, Germany.Purpose: Binocular traumatic or atraumatic iris defects can lead to an increased sensitivity to glare and cosmetic disfigurement. Surgical iris reconstruction is one approach to alleviate these problems. We report the clinical outcomes after medically indicated bilateral implantation of an Artificial Iris prosthesis in three patients with binocular iris defects with different etiologies. Observations: All three patients underwent binocular CUSTOMFLEX ArtificialIris (AI) (HumanOptics AG, Erlangen, Germany) implantation with simultaneous cataract surgery. Corrected distance visual acuity (CDVA), manifest refraction, Contrast sensitivity, endothelial cell density and subjective visual impairment as well as subjective cosmetic disfigurement were measured pre- and postoperatively. CDVA remained stable or improved in all three patients. We observed an increase in contrast sensitivity and reduction of glare sensitivity in two patients. All patients reported satisfaction with the cosmetical result after the implantation. Conclusions and importance: The bilateral Artificial Iris implantation is an effective therapeutic option to reduce glare sensitivity and to achieve an aesthetically pleasing result also in selected patients with binocular traumatic or atraumatic iris defects.http://www.sciencedirect.com/science/article/pii/S2451993621001171TraumaAniridiaOpen globe injuryReconstructive surgerySurgical iris reconstruction |
| spellingShingle | Christian Steffen Mayer Isabella Diana Baur Julia Storr Ramin Khoramnia Bilateral Artificial Iris implantation in patients with bilateral iris defects American Journal of Ophthalmology Case Reports Trauma Aniridia Open globe injury Reconstructive surgery Surgical iris reconstruction |
| title | Bilateral Artificial Iris implantation in patients with bilateral iris defects |
| title_full | Bilateral Artificial Iris implantation in patients with bilateral iris defects |
| title_fullStr | Bilateral Artificial Iris implantation in patients with bilateral iris defects |
| title_full_unstemmed | Bilateral Artificial Iris implantation in patients with bilateral iris defects |
| title_short | Bilateral Artificial Iris implantation in patients with bilateral iris defects |
| title_sort | bilateral artificial iris implantation in patients with bilateral iris defects |
| topic | Trauma Aniridia Open globe injury Reconstructive surgery Surgical iris reconstruction |
| url | http://www.sciencedirect.com/science/article/pii/S2451993621001171 |
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