J Korean Ophthalmol Soc.  2018 Dec;59(12):1185-1189. 10.3341/jkos.2018.59.12.1185.

A Case of Isolated Traumatic Aniridia in a Pseudophakic Eye

• Kwon MY
• Hong HJ
• Park DJ

• KMID: 2428692
• DOI: http://doi.org/10.3341/jkos.2018.59.12.1185

Abstract

PURPOSE
We report a rare case of isolated traumatic aniridia in a pseudophakic eye.
CASE SUMMARY
A 69-year-old female came to our emergency department complaining of right eye pain and visual disturbance after trauma due to fall on the stairs. Five years earlier she had undergone an uncomplicated right sutureless phacoemulsification cataract extraction through a 2.2 mm temporal clear corneal incision, followed by insertion of a folding intracapsular intraocular lens. Total iris expulsion occurred through the cataract incision without extension of the wound or disruption of the posterior capsule or intraocular lens.
CONCLUSIONS
We report a rare case of isolated traumatic aniridia in a pseudophakic eye, which has not been reported in the Republic of Korea.

Keyword

Aniridia; Pseudophkia; Trauma

MeSH Terms

Aged
Aniridia*
Cataract
Cataract Extraction
Emergency Service, Hospital
Eye Pain
Female
Humans
Iris
Lenses, Intraocular
Phacoemulsification
Republic of Korea
Wounds and Injuries

Figure

• 

  Figure 1. Slit-lamp photography of the right eye at initial examination. The right eye shows a total hyphema.

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  Figure 2. B-scan of the right eye at initial examination. There was no visible retinal detachment and vitreous hemorrhage.

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  Figure 3. Slit-lamp photographs 1 day after admission, hyphema was improved. (A) It shows aniridia with a well-centered IOL in an intact capsular bag and blood clot on the IOL. (B) Iris pigmentation on temporal clear corneal incision. IOL = intraocular lens.

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  Figure 4. Anterior segment optical coherence tomography of the right eye shows temporal clear corneal incision at the green arrow. The incision length was 1.83 mm (yellow double-headed arrow).

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  Figure 5. Slit-lamp photograph 8 weeks after admission, aniridia with a well-centered IOL in an intact capsular bag. The blood clot had cleared from the IOL surface. IOL = intraocular lens.

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  Figure 6. Anterior segment optical coherence tomography of the right eye reveals aniridia. An intraocular lens is shown at the green arrow (A). By contrast, the left eye has a normal iris structure, shown at the green arrow (B).

Reference

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