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Managemant of late term iridodialisis and traumatic cataract due to penetrating injury: iridopexy, pupilloplasty and lensectomy

Poster Details

First Author: A.Ozcan TURKEY

Co Author(s):    F. Simsek              

Abstract Details



Purpose:

To report the management and results of a case with iridodialisis and traumatic cataract due to penetrating injury

Setting:

Cukurova University Faculty of Medicine Ophthalmology Department

Methods:

A 57 years old woman who had corneoscleral penetrating injury with iron wire to her right eye had been operated in our clinic 5 months ago. Early surgery for large iridodialisis recommended but she didn’t follow up the controls and refered us again with decreased vision and photophobia. The visual acuity was hand motions in her right eye. Ophthalmologic examination revealed traumatic cataract and large iridodialisis at nasal region between 12 and 7 o’clock. This iridodialisis was clustered on the optical axis with posterior sinechia. Ultrasound imaging showed no vitreoretinal pathology. ?ridopexy, lensectomy and pupil reconstruction was planned. The challenging step was releasing adhesions of the clustered iris because of disordered anatomy. After obtaining the iris anatomy, iris retractors were used to maintain safety of phacoemulsificaton. Then five distinct areas of iridodialisis sutured to the sclera from iris root with 10/0 polypropilen suture. After iridopexy, pupilloplasty was done with siepser slip knot technique

Results:

Corneal edema occured postoperatively in this posttraumatic cornea due to prolonged surgery time. One week after surgery corneal edema disappeared and the best corrected visual acuity was 0.3 with considerable, aesthetic round pupil and iris anatomy.

Conclusions:

?ridodialisis, cataract and pupillary defects are common problems of penetrating injuries. Timing of the surgery with appropriate surgical technique is very important issue. Early surgical timing will prevent from intraocular adhesions and will provide easier, shortest surgery with rapid improvements and good anatomical success

Financial Disclosure:

NONE

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