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

This Meeting has been awarded 27 CME credits

 

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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

Purpose:

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).

Setting:

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

Methods:

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.

Results:

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.

Conclusions:

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.

Financial Disclosure:

NONE

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