Traumatic aniridia in a pseudophakic patient 6 years following surgery

Mikel Mikhail1, Keyvan Koushan2, Rajeshvar K Sharda2, Gloria Isaza2, Keith D Mann21Michael G DeGroote School of Medicine, 2Division of Ophthalmology, Department of Surgery, McMaster University, Hamilton, ON, CanadaPurpose: To report a case of aniridia in a pseudophakic patient following blunt trauma...

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Autores principales: Mikhail M, Koushan K, Sharda RK, Isaza G, Mann KD
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Lenguaje:EN
Publicado: Dove Medical Press 2012
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Acceso en línea:https://doaj.org/article/a05237445e364460b551180d8668fda1
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spelling oai:doaj.org-article:a05237445e364460b551180d8668fda12021-12-02T00:23:15ZTraumatic aniridia in a pseudophakic patient 6 years following surgery1177-54671177-5483https://doaj.org/article/a05237445e364460b551180d8668fda12012-02-01T00:00:00Zhttp://www.dovepress.com/traumatic-aniridia-in-a-pseudophakic-patient-6-years-following-surgery-a9221https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Mikel Mikhail1, Keyvan Koushan2, Rajeshvar K Sharda2, Gloria Isaza2, Keith D Mann21Michael G DeGroote School of Medicine, 2Division of Ophthalmology, Department of Surgery, McMaster University, Hamilton, ON, CanadaPurpose: To report a case of aniridia in a pseudophakic patient following blunt trauma to the eye.Case report: The traumatized eye had cataract surgery through a 3.0 mm clear corneal incision 6 years prior to the incident. While there have been previous cases of traumatic aniridia in pseudophakic eyes, previous reports have all occurred closer to the time of the cataract surgery. We believe that the most likely mechanism of loss of iris tissue is through wound dehiscence, which would suggest the relative instability of clear corneal incisions several years postoperatively. The patient's visual acuity returned to 20/20 4 weeks post-trauma, with symptoms of glare which were managed by the use of a colored contact lens.Conclusion: The possibility of wound dehiscence should be recognized as an important clinical entity in the immediate postoperative period, but also several years following cataract surgery.Keywords: anirida, pseudophakia, cataract extraction, cataract, phacoemulsification, traumaMikhail MKoushan KSharda RKIsaza GMann KDDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2012, Iss default, Pp 1809-1813 (2012)
institution DOAJ
collection DOAJ
language EN
topic Ophthalmology
RE1-994
spellingShingle Ophthalmology
RE1-994
Mikhail M
Koushan K
Sharda RK
Isaza G
Mann KD
Traumatic aniridia in a pseudophakic patient 6 years following surgery
description Mikel Mikhail1, Keyvan Koushan2, Rajeshvar K Sharda2, Gloria Isaza2, Keith D Mann21Michael G DeGroote School of Medicine, 2Division of Ophthalmology, Department of Surgery, McMaster University, Hamilton, ON, CanadaPurpose: To report a case of aniridia in a pseudophakic patient following blunt trauma to the eye.Case report: The traumatized eye had cataract surgery through a 3.0 mm clear corneal incision 6 years prior to the incident. While there have been previous cases of traumatic aniridia in pseudophakic eyes, previous reports have all occurred closer to the time of the cataract surgery. We believe that the most likely mechanism of loss of iris tissue is through wound dehiscence, which would suggest the relative instability of clear corneal incisions several years postoperatively. The patient's visual acuity returned to 20/20 4 weeks post-trauma, with symptoms of glare which were managed by the use of a colored contact lens.Conclusion: The possibility of wound dehiscence should be recognized as an important clinical entity in the immediate postoperative period, but also several years following cataract surgery.Keywords: anirida, pseudophakia, cataract extraction, cataract, phacoemulsification, trauma
format article
author Mikhail M
Koushan K
Sharda RK
Isaza G
Mann KD
author_facet Mikhail M
Koushan K
Sharda RK
Isaza G
Mann KD
author_sort Mikhail M
title Traumatic aniridia in a pseudophakic patient 6 years following surgery
title_short Traumatic aniridia in a pseudophakic patient 6 years following surgery
title_full Traumatic aniridia in a pseudophakic patient 6 years following surgery
title_fullStr Traumatic aniridia in a pseudophakic patient 6 years following surgery
title_full_unstemmed Traumatic aniridia in a pseudophakic patient 6 years following surgery
title_sort traumatic aniridia in a pseudophakic patient 6 years following surgery
publisher Dove Medical Press
publishDate 2012
url https://doaj.org/article/a05237445e364460b551180d8668fda1
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AT koushank traumaticaniridiainapseudophakicpatient6yearsfollowingsurgery
AT shardark traumaticaniridiainapseudophakicpatient6yearsfollowingsurgery
AT isazag traumaticaniridiainapseudophakicpatient6yearsfollowingsurgery
AT mannkd traumaticaniridiainapseudophakicpatient6yearsfollowingsurgery
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