Surgical Reconstruction Of Iris Defects With Customflex® Artificial Prosthesis After Traumatic Ocular Injury: A Report Of Three Cases
Published 2025 - 43rd Congress of the ESCRS
Reference: PO153 | Type: Case Report | DOI: 10.82333/fke0-j911
Authors: Mireia Minguell Barbero* 1 , Miriam Barbany Rodriguez 1 , Maria Júlia Martinez Malizia 1 , Irene Sassot Cladera 1 , Paula Rivero Frisch 1 , Mei Martinez Alegre 1 , Ferran Llanas Alegre 1 , Teresa Hernandez Trujillo 2
1Ophthalmology,Hospital Universitari Mútua Terrassa,Terrassa,Spain, 2Optometry,Hospital Universitari Mútua Terrassa,Terrassa,Spain
Purpose
Artificial iris implants are used to treat large congenital or acquired iris defects when the remaining iris tissue is insufficient for suturing techniques. They alleviate light-related visual symptoms such as photophobia, halos, or glare, while improving ocular aesthetics, enhancing patients' quality of life and satisfaction, with a low rate of adverse effects. This study evaluates the postoperative outcomes of three cases of artificial iris implantation after perforating ocular trauma and its applicability in clinical practice.
Setting
Department of Ophthalmology, Mútua Terrassa University Hospital, Terrassa, Barcelona, Spain
Report of case
Case 1: A 64-year-old woman with partial iris loss in the left eye (LE) after trauma, complaining of severe photophobia and glare. History of amblyopia in the right eye (RE) and cataract surgery in both eyes with monofocal intraocular lens implantation 8 years ago. The slit-lamp examination and the ultrasonic biomicroscopy showed a 5 o’clock hour iris loss in the nasal area with the presence of peripheral iris remnants. Distance best-corrected visual acuity (BCVA) was 0.7 in both eyes. A fiberless artificial iris was implanted in the sulcus.
Case 2: A 33-year-old man with traumatic aniridia, aphakia, and corneal leucoma in the right eye (RE), with an ocular prosthesis in the left eye (LE). Following the trauma, he required retinal detachment surgery in the RE. Distance BCVA was 0.05 in RE. A combined procedure of penetrating keratoplasty and sulcus fixation of an artificial iris-intraocular lens complex was performed.
Case 3: A 73-year-old woman with traumatic brunescent cataract and iridodialysis. Remnants of iris persisted at the lower level, but the rest was disinserted. Her distance BCVA was 0.9 in RE and counting fingers at 20 meters in LE. An extracapsular cataract extraction and sulcus fixation of an artificial iris-intraocular lens complex were performed.
BCVA remained stable in Case 1 and improved in Cases 2 and 3. All patients reported reduced photophobia and improved postoperative aesthetic satisfaction.
Conclusion/Take home message
Intraocular implantation of an artificial iris is a safe and effective technique for treating iris defects. It provides optical, aesthetic and functional benefits that impact on patients satisfaction and improve their the quality of life. It is particularly useful in patients with light-related visual symptoms.