Implantation of a small-aperture intraocular lens and a partial aniridia implant in eyes with traumatic iris defects

Purpose: To report the clinical outcomes after implantation of a small-aperture intraocular lens (IOL) and a partial aniridia ring in three patients with traumatic iris defects. Observations: The corrected distance visual acuity (CDVA), irregular astigmatism, and glare improved in all patients. In o...

Full description

Bibliographic Details
Main Authors: Hyeck-Soo Son, Timur Yildirim, Ramin Khoramnia, Grzegorz Labuz, Christian Mayer, Gerd U. Auffarth
Format: Article
Language:English
Published: Elsevier 2020-06-01
Series:American Journal of Ophthalmology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2451993620300475
_version_ 1819068572805103616
author Hyeck-Soo Son
Timur Yildirim
Ramin Khoramnia
Grzegorz Labuz
Christian Mayer
Gerd U. Auffarth
author_facet Hyeck-Soo Son
Timur Yildirim
Ramin Khoramnia
Grzegorz Labuz
Christian Mayer
Gerd U. Auffarth
author_sort Hyeck-Soo Son
collection DOAJ
description Purpose: To report the clinical outcomes after implantation of a small-aperture intraocular lens (IOL) and a partial aniridia ring in three patients with traumatic iris defects. Observations: The corrected distance visual acuity (CDVA), irregular astigmatism, and glare improved in all patients. In one patient, the monocular defocus curve showed a visual acuity (VA) of 0.30 logMAR or better from 1.0 to −1.5 D, and the halo size and intensity were 5 and 10 (on a scale from 0 to 100), respectively, and the glare size and intensity were 23 and 16 (on a scale from 0 to 100), respectively. Conclusions and importance: The pinhole effect of the small-aperture IOL helped considerably decrease irregular astigmatism and improve visual acuity. The partial aniridia implant also contributed to the reduction of the glare symptoms, while allowing a sufficient fundus assessment. The combined implantation of the small-aperture IOL and the partial aniridia device, therefore, presents an effective option for improvement of the visual symptoms in patients with traumatic iris defects.
first_indexed 2024-12-21T16:36:17Z
format Article
id doaj.art-f86c73778d414fe18a5e221b2bba5c15
institution Directory Open Access Journal
issn 2451-9936
language English
last_indexed 2024-12-21T16:36:17Z
publishDate 2020-06-01
publisher Elsevier
record_format Article
series American Journal of Ophthalmology Case Reports
spelling doaj.art-f86c73778d414fe18a5e221b2bba5c152022-12-21T18:57:13ZengElsevierAmerican Journal of Ophthalmology Case Reports2451-99362020-06-0118Implantation of a small-aperture intraocular lens and a partial aniridia implant in eyes with traumatic iris defectsHyeck-Soo Son0Timur Yildirim1Ramin Khoramnia2Grzegorz Labuz3Christian Mayer4Gerd U. Auffarth5David J. Apple International Laboratory for Ocular Pathology and International Vision Correction Research Centre (IVCRC), Department of Ophthalmology, University of Heidelberg, Heidelberg, GermanyDavid J. Apple International Laboratory for Ocular Pathology and International Vision Correction Research Centre (IVCRC), Department of Ophthalmology, University of Heidelberg, Heidelberg, GermanyDavid J. Apple International Laboratory for Ocular Pathology and International Vision Correction Research Centre (IVCRC), Department of Ophthalmology, University of Heidelberg, Heidelberg, GermanyDavid J. Apple International Laboratory for Ocular Pathology and International Vision Correction Research Centre (IVCRC), Department of Ophthalmology, University of Heidelberg, Heidelberg, GermanyDavid J. Apple International Laboratory for Ocular Pathology and International Vision Correction Research Centre (IVCRC), Department of Ophthalmology, University of Heidelberg, Heidelberg, GermanyCorresponding author. International Vision Correction Research Centre (IVCRC), Dept. of Ophthalmology, Univ. of Heidelberg, INF 400, 69120, Heidelberg, Germany.; David J. Apple International Laboratory for Ocular Pathology and International Vision Correction Research Centre (IVCRC), Department of Ophthalmology, University of Heidelberg, Heidelberg, GermanyPurpose: To report the clinical outcomes after implantation of a small-aperture intraocular lens (IOL) and a partial aniridia ring in three patients with traumatic iris defects. Observations: The corrected distance visual acuity (CDVA), irregular astigmatism, and glare improved in all patients. In one patient, the monocular defocus curve showed a visual acuity (VA) of 0.30 logMAR or better from 1.0 to −1.5 D, and the halo size and intensity were 5 and 10 (on a scale from 0 to 100), respectively, and the glare size and intensity were 23 and 16 (on a scale from 0 to 100), respectively. Conclusions and importance: The pinhole effect of the small-aperture IOL helped considerably decrease irregular astigmatism and improve visual acuity. The partial aniridia implant also contributed to the reduction of the glare symptoms, while allowing a sufficient fundus assessment. The combined implantation of the small-aperture IOL and the partial aniridia device, therefore, presents an effective option for improvement of the visual symptoms in patients with traumatic iris defects.http://www.sciencedirect.com/science/article/pii/S2451993620300475Traumatic iris defectSmall aperture IOLPartial aniridia implant
spellingShingle Hyeck-Soo Son
Timur Yildirim
Ramin Khoramnia
Grzegorz Labuz
Christian Mayer
Gerd U. Auffarth
Implantation of a small-aperture intraocular lens and a partial aniridia implant in eyes with traumatic iris defects
American Journal of Ophthalmology Case Reports
Traumatic iris defect
Small aperture IOL
Partial aniridia implant
title Implantation of a small-aperture intraocular lens and a partial aniridia implant in eyes with traumatic iris defects
title_full Implantation of a small-aperture intraocular lens and a partial aniridia implant in eyes with traumatic iris defects
title_fullStr Implantation of a small-aperture intraocular lens and a partial aniridia implant in eyes with traumatic iris defects
title_full_unstemmed Implantation of a small-aperture intraocular lens and a partial aniridia implant in eyes with traumatic iris defects
title_short Implantation of a small-aperture intraocular lens and a partial aniridia implant in eyes with traumatic iris defects
title_sort implantation of a small aperture intraocular lens and a partial aniridia implant in eyes with traumatic iris defects
topic Traumatic iris defect
Small aperture IOL
Partial aniridia implant
url http://www.sciencedirect.com/science/article/pii/S2451993620300475
work_keys_str_mv AT hyecksooson implantationofasmallapertureintraocularlensandapartialaniridiaimplantineyeswithtraumaticirisdefects
AT timuryildirim implantationofasmallapertureintraocularlensandapartialaniridiaimplantineyeswithtraumaticirisdefects
AT raminkhoramnia implantationofasmallapertureintraocularlensandapartialaniridiaimplantineyeswithtraumaticirisdefects
AT grzegorzlabuz implantationofasmallapertureintraocularlensandapartialaniridiaimplantineyeswithtraumaticirisdefects
AT christianmayer implantationofasmallapertureintraocularlensandapartialaniridiaimplantineyeswithtraumaticirisdefects
AT gerduauffarth implantationofasmallapertureintraocularlensandapartialaniridiaimplantineyeswithtraumaticirisdefects