Copenhagen 2016 Registration Programme Exhibitor Information Virtual Exhibition Satellite Meetings Glaucoma Day 2016 Hotel Star Alliance

10 - 14 Sept. 2016, Bella Center, Copenhagen, Denmark

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Transscleral sutured aniridia lenses after severe anterior segment trauma involving the cornea, iris and lens

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Session Details

Session Title: Presented Poster Session: Solutions for Traumatic Cases

Session Date/Time: Tuesday 13/09/2016 | 09:30-11:00

Paper Time: 10:40

Venue: Poster Village: Pod 3

First Author: : Z.Ozbek TURKEY

Co Author(s): :    I. Durak   A. Ozturk   O. Seymenoglu        

Abstract Details


To discuss two patients with a history of corneal perforation and substantial iris and lens trauma who underwent penetrating keratoplasty (PK), anterior vitrectomy (AV) and transscleral sutured aniridia intraocular lens (Ophtec HMK Ani 2 Model 311) implantation (TSALI).


Department of Ophthalmology Dokuz Eylul University School of Medicine, Izmir, Turkey.


A twentyseven year-old man had corneal perforation repair in his left eye in September 2013. He was referred for severe photofobia and aphakia. His BCVA was counting fingers. He had a limbus-to-limbus corneal perforation scar together with almost total traumatic aniridia. A thirty-seven year-old woman had a history of bilateral radial keratotomy for myopia 8 years ago. She hit her face to the door in August 2014 and had a limbus-to-limbus corneal perforation, severe hyphema, almost total iris avulsion and traumatic aphakia in her left eye. Her vision was hand motion. She underwent corneal repair in August, 2014.


The first patient underwent PK+AV and TSALI on February 2014. His final BCVA was 0.2(-3.25-3.5x90) and he noted a marked decrease in photofobia. The second patient underwent corneal repair on August 14, 2014. She was followed up for 1 year and then underwent PK+AV+TSALI in November 2015. Her final BCVA was 0.1. Both patients are still under follow-up with clear grafts and anterior chambers, stable intraocular pressures and no retinal complications have been noted so far.


Severe anterior segment trauma usually involves more than one of cornea, sclera, iris, lens and even vitreous. Long-term visual rehabilitation can be achieved in such patients with careful follow-up, timely interventions for complications and a well-planned surgery involving PK+AV+TSALI.

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