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International Journal of Recent Trends in Science and Technology, ISSN 2277-2812 E-ISSN: 2249-8109
Volume 7, Issue 1, May 2013 pp 36-39
Coloured Diaphragm Scleral Fixated IOL in Patients with Traumatic Aniridia and Cataract
Sonal Agrawal1, Anil Verma2
1Department of Ophthalmology, Krishna Institute of Medical Sciences Deemed University, Karad, Satara, Maharashtra, INDIA.
2Anupam eye Hospital, Karad, Satara, Maharashtra, INDIA.
Academic Editor : Dr. Aher K.R.
Purpose of our study is to share our experience with coloured posterior chamber scleral fixated intraocular lenses (PCIOL) in patients with traumatic cataract and aniridia. 6 patient presenting with traumatic cataract and partial or total aniridia underwent cataract extraction and scleral fixated aniridia IOL (intraocular lense) after vitrectomy by the same surgeon. IOL was sutured to sclera with help of 10- o nylon at 2 and 8’ 0 clocks and knot was buried under partial thickness scleral tunnel. Results were assessed in terms of visual acuity, contrast sensitivity, subjective comfort level in bright and dim light conditions. Results were gratifying in terms of quality of vision, and aesthetic satisfaction. Patient needed IOP (intraocular pressure) monitoring, fundus examination along with slit lamp examination in the follow up visits. In our small volume study we did not notice any major post op complications and minor complications like iritis, increased IOP, cystoid macular edema were managed with the routine post-operative regimen. Other indications for coloured IOL are congenital aniridia or iris coloboma, surgical iris loss, or ocular albinism. Other management options include cosmetic contact lenses, corneal tattooing, iridoplasty but the scleral fixated coloured IOL are closest to normal anatomy of lens iris diaphragm. Aniridia IOL implantation can be done along with penetrating keratoplasty, trabeculectomy or pars plana vitrectomy. There is an initial learning curve but it is not difficult to master it. Limitation after the procedure is the inability to examine peripheral fundus.