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Vitrectomy, diaphragm IOL treat traumatic aniridia

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LODZ, Poland — Traumatic aniridia was safely managed with vitrectomy and scleral fixation of a black diaphragm IOL in a small series of cases here.

Researchers treated six patients (mean age of 44) for traumatic aniridia using pars plana vitrectomy and transscleral fixation of a Morcher black diaphragm IOL. Total aniridia was observed in three eyes and partial aniridia in the other three eyes. Four eyes were aphakic and severe lens subluxation was seen in two eyes.

Follow-up time ranged from 4 to 39 months. Best corrected visual acuity improved in five patients and remained unchanged in one. No severe complications were noted. Three patients required topical glaucoma medications both pre- and postoperatively for good intraocular pressure control.

The study is published in the September/October issue of Ophthalmic Surgery and Lasers.