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Bilateral Artificial Iris implantation in patients with bilateral iris defects

Authors
  • Mayer, Christian Steffen1
  • Baur, Isabella Diana1
  • Storr, Julia2
  • Khoramnia, Ramin1
  • 1 Department of Ophthalmology, University of Heidelberg, Heidelberg, Germany
  • 2 Ophthalmology Clinic and Polyclinic, Technical University of Munich, Munich, Germany
Type
Published Article
Journal
American Journal of Ophthalmology Case Reports
Publisher
Elsevier
Publication Date
Apr 30, 2021
Volume
22
Identifiers
DOI: 10.1016/j.ajoc.2021.101108
PMID: 34027229
PMCID: PMC8121880
Source
PubMed Central
Keywords
Disciplines
  • Case Report
License
Unknown

Abstract

Purpose Binocular traumatic or atraumatic iris defects can lead to an increased sensitivity to glare and cosmetic disfigurement. Surgical iris reconstruction is one approach to alleviate these problems. We report the clinical outcomes after medically indicated bilateral implantation of an Artificial Iris prosthesis in three patients with binocular iris defects with different etiologies. Observations All three patients underwent binocular CUSTOMFLEX ArtificialIris (AI) (HumanOptics AG, Erlangen, Germany) implantation with simultaneous cataract surgery. Corrected distance visual acuity (CDVA), manifest refraction, Contrast sensitivity, endothelial cell density and subjective visual impairment as well as subjective cosmetic disfigurement were measured pre- and postoperatively. CDVA remained stable or improved in all three patients. We observed an increase in contrast sensitivity and reduction of glare sensitivity in two patients. All patients reported satisfaction with the cosmetical result after the implantation. Conclusions and importance The bilateral Artificial Iris implantation is an effective therapeutic option to reduce glare sensitivity and to achieve an aesthetically pleasing result also in selected patients with binocular traumatic or atraumatic iris defects.

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