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Case Reports
. 2021 Apr 12;12(1):204-207.
doi: 10.1159/000511099. eCollection 2021 Jan-Apr.

Combined Post-Traumatic Total Aniridia and Glaucoma Management

Eleni Christodoulou  1 , Georgios Batsos  2 , Efstratios Parikakis  2 , Vlasios Papadopoulos  1 , Dimitrios Karagiannis  2 , Panagiotis Petros Koumoutsos  2 , Alexandros Tsilis  1 , Spyridon Drazinos  1
Affiliations
Case Reports

Combined Post-Traumatic Total Aniridia and Glaucoma Management

Eleni Christodoulou et al. Case Rep Ophthalmol. .

Abstract

We report a novel approach for managing traumatic total aniridia associated with secondary glaucoma. A 65-year-old male with symptoms of blurred vision, glare, and photophobia was managed in a district general hospital for post-traumatic aniridia associated with secondary glaucoma affecting the right eye. The patient previously suffered blunt ocular injury associated with rhegmatogenous retinal detachment, which was treated with pars plana vitrectomy and silicone oil (SO) tamponade and subsequent removal of SO (ROSO). Combined trabeculectomy and implantation of a foldable prosthetic iris (Reper NN Ltd) successfully addressed the dual pathology of aniridia and secondary glaucoma. In summary, the utilization of the trabeculectomy fistula can serve as the implant insertion site, which minimizes the requirement for additional incisions.

Keywords: Aniridia; Glaucoma; Ocular trauma; Vitrectomy.

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Conflict of interest statement

The authors have no conflicts of interest to declare.

Figures

Fig. 1
Fig. 1
Stages from 2 operations and final result. Beginning of SO extraction (a), implantation of artificial iris (1 of the 3 haptics is externalized) (b), end of the operation (c), final result after 3 months (artificial iris in proper position and a functional filtering bleb) (d). SO, silicone oil.
See this image and copyright information in PMC

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