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Lens subluxation after trauma with eyeglasses: Iris-fixated AC IOL implantation

Poster Details

First Author: A.Vicente PORTUGAL

Co Author(s):    B. Borges   A. Cabugueira   A. Basilio   A. Amaral   J. Feijao   N. Marques

Abstract Details

Purpose:

The authors present a case of a patient with anterior lens subluxation submitted to iris fixated AC IOL implantation after trauma with eyeglasses.

Setting:

Centro Hospitalar Lisboa Central, Lisbon, Portugal

Methods:

A 40 years old patient who suffered a penetrating corneoscleral eye injury that was initially sutured developed a traumatic cataract with subluxation of the lens to the anterior chamber. The patient also developed high intraocular pressure that was successfully medicated with topical therapy. After the initial surgery, the lens was removed. A third surgical procedure consisted in a pars plana victrectomy and anterior chamber iris-fixated IOL (ArtisanĀ®) implantation.

Results:

There were no complications during the surgical procedure. Follow-up has been secured for 4 months with periodic anterior segment OCT, anterior segment photography and IOP measurements. No postoperative complications occurred.

Conclusions:

The technique used combined with a correct timing contributed to a good clinical outcome. Visual recovery was considerable. The implantation of an iris-fixated AC lens is a great option when dealing with this type of patients.

Financial Disclosure:

NONE

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