Combined Scleral-Fixated Iol, Artificial Iris, And Penetrating Keratoplasty For Visual Rehabilitation After Ocular Trauma

To present a complex case of visual rehabilitation following severe traumatic eye injury, highlighting the surgical challenges and innovative approach required to restore ocular structure, function, and patient quality of life.

A complex post-traumatic ocular presentation in a tertiary care setting, where the patient sustained severe anterior segment damage resulting in corneal opacity, iris loss, and absence of capsular support. The extent of structural disruption necessitated a combined surgical approach in a multidisciplinary team setting to restore ocular integrity, visual function, and cosmetic appearance.

A carefully planned combined (“triple”) surgical approach was undertaken. This included implantation of a scleral-fixated intraocular lens, placement of an artificial iris, and performing a penetrating keratoplasty. The strategy aimed to address multiple structural deficits in a single operative session, requiring precise surgical technique and coordination.

The combined procedure enabled reconstruction of the damaged ocular anatomy, with restoration of structural integrity and improved visual potential. The approach demonstrated the feasibility of managing complex post-traumatic cases with a single-stage, multi-component surgical intervention

Comprehensive surgical planning and the integration of advanced techniques can successfully rehabilitate eyes with severe traumatic damage. A combined approach using scleral-fixated intraocular lens implantation, artificial iris placement, and penetrating keratoplasty offers a viable solution to restore both function and patient hope in otherwise devastating cases.