ESCRS - P152 - PENETRATING KERATOPLASTY AND SUTURED MORCHER INTRAOCULAR LENS IN A PATIENT WITH ANIRIDIA AND POST TRAUMATIC CORNEAL LEUCOMA, A CASE REPORT

PENETRATING KERATOPLASTY AND SUTURED MORCHER INTRAOCULAR LENS IN A PATIENT WITH ANIRIDIA AND POST TRAUMATIC CORNEAL LEUCOMA, A CASE REPORT

Published 2022 - 26th ESCRS Winter Meeting

Reference: P152 | Type: Abstracts | DOI: 10.82333/yj9h-3q45

Authors: Ronell Fernández Hernández* 1 , Pablo Jenaro Martí Rodrigo 1 , Jorge Armentia Perez de Mendiola 1 , Emilio José Segovia Maldonado 1 , Maria Jesús Quiroz Quiroga 1 , Marta Lenczewska 1

1Ophtalmology,Hospital del Mar,Barcelona,Spain

Purpose

To present a clinical case in which the simultaneous use of a penetrating keratoplasty and implantation of a sutured intraocular lens was used to treat a patient with posttraumatic aniridia and corneal leukoma.

Setting

Traumatic aniridia is a relatively infrequent condition in regular clinical practice. Due to its nature, it is usually accompanied by other ophthalmologic conditions such as corneal scars or corneal decompensations. Because of this, the treatment of these patients can be a daunting task with no definitive answer.

Methods

Report of a clinical case

Results

We present the case of a 61 years old male patient referring low vision in his left eye. The patient had suffered a blunt force trauma to said eye 30 years prior which was initially surgically treated by suturing the corneal laceration, extraction of crystalline lens and extensive pars plana vitrectomy. No other surgical treatments were performed afterwards. Best corrected visual acuity was hand motion in his left eye. Anterior and posterior segment slit lamp examination of the right eye was normal. Slit lamp examination of the left eye showed the presence of a diffuse corneal leukoma as well as diffuse corneal oedema. Aphakia and sectorial aniridia, with only small segments of the iris remaining inferiorly and temporally, were also observed. Funduscopy exam of the left eye could not be performed due to corneal opacity. B mode echography showed correct positioning of the retina. 

A surgical treatment was performed consisting of a combination of penetrating keratoplasty and the implantation of an aniridia type 67B Morcher intraocular lens by means of scleral fixation with a Prolene suture. This was made as a variation of the four-flanged technique of Sérgio Canabrava. Evolution of the patient following the procedure was correct, with a correct positioning of the lens and a good cosmetic result being observed afterwards. 

Conclusion

This case allows us to show a different way of Morcher intraocular lens fixation, being different than the usual method, but still obtaining good stability and lens positioning a year following the procedure.