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Black Diaphragm Intraocular Lens Implantation in Patients with Aniridia

PURPOSE: To review the management outcomes of black diaphragm intraocular (BDI) lens implantation in Arab patients with aniridia. METHODS: Patients with aniridia undergone BDI lens implantation at our institution between 2013 and 2014 were included. Uncorrected visual acuity (UCVA), manifest refract...

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Autor principal: Al-Rashidi, Sultan H.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6388531/
https://www.ncbi.nlm.nih.gov/pubmed/30820283
http://dx.doi.org/10.4103/jovr.jovr_244_17
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author Al-Rashidi, Sultan H.
author_facet Al-Rashidi, Sultan H.
author_sort Al-Rashidi, Sultan H.
collection PubMed
description PURPOSE: To review the management outcomes of black diaphragm intraocular (BDI) lens implantation in Arab patients with aniridia. METHODS: Patients with aniridia undergone BDI lens implantation at our institution between 2013 and 2014 were included. Uncorrected visual acuity (UCVA), manifest refraction, and best-corrected visual acuity (BCVA) were evaluated before and 6 months and yearly after BDI lens implant surgery until the last visit. Intra- and postoperative complications were noted. RESULTS: Our series comprised 14 patients (8 males) with aniridia. The median duration of follow-up was 30 months (25% quartile). Ocular parameters, refractive status, and vison were all significantly improved at the last follow-up compared to the preoperative values (P < 0.05 for all comparisons). All patients reported a significant decrease in photophobia and glare. Postoperatively, 11 eyes (78%) gained 2 or more lines of UCVA. At the last follow-up, BCVA increased by 2 or more lines in all cases. Early postoperative complications included main wound leakage (one eye) and anterior chamber hyphema (one eye). Late (≥6 months) complications included corneal decompensation (one eye), failed penetrating keratoplasty graft (2 eyes), and subluxation of a scleral fixated BDI lens (one eye). Surgical interventions performed to manage complications included penetrating keratoplasty in 2 eyes with corneal decompensation and failed graft (one each), and re-suturing of a subluxated intraocular lens (one eye). CONCLUSION: BDI lenses seem to be a safe and effective iris prosthetic with intraocular lens combination surgery for patients with congenital or traumatic aniridia. Periodic evaluation and prompt management of complications are recommended.
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spelling pubmed-63885312019-02-28 Black Diaphragm Intraocular Lens Implantation in Patients with Aniridia Al-Rashidi, Sultan H. J Ophthalmic Vis Res Original Article PURPOSE: To review the management outcomes of black diaphragm intraocular (BDI) lens implantation in Arab patients with aniridia. METHODS: Patients with aniridia undergone BDI lens implantation at our institution between 2013 and 2014 were included. Uncorrected visual acuity (UCVA), manifest refraction, and best-corrected visual acuity (BCVA) were evaluated before and 6 months and yearly after BDI lens implant surgery until the last visit. Intra- and postoperative complications were noted. RESULTS: Our series comprised 14 patients (8 males) with aniridia. The median duration of follow-up was 30 months (25% quartile). Ocular parameters, refractive status, and vison were all significantly improved at the last follow-up compared to the preoperative values (P < 0.05 for all comparisons). All patients reported a significant decrease in photophobia and glare. Postoperatively, 11 eyes (78%) gained 2 or more lines of UCVA. At the last follow-up, BCVA increased by 2 or more lines in all cases. Early postoperative complications included main wound leakage (one eye) and anterior chamber hyphema (one eye). Late (≥6 months) complications included corneal decompensation (one eye), failed penetrating keratoplasty graft (2 eyes), and subluxation of a scleral fixated BDI lens (one eye). Surgical interventions performed to manage complications included penetrating keratoplasty in 2 eyes with corneal decompensation and failed graft (one each), and re-suturing of a subluxated intraocular lens (one eye). CONCLUSION: BDI lenses seem to be a safe and effective iris prosthetic with intraocular lens combination surgery for patients with congenital or traumatic aniridia. Periodic evaluation and prompt management of complications are recommended. Medknow Publications & Media Pvt Ltd 2019 /pmc/articles/PMC6388531/ /pubmed/30820283 http://dx.doi.org/10.4103/jovr.jovr_244_17 Text en Copyright: © 2019 Journal of Ophthalmic and Vision Research http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Al-Rashidi, Sultan H.
Black Diaphragm Intraocular Lens Implantation in Patients with Aniridia
title Black Diaphragm Intraocular Lens Implantation in Patients with Aniridia
title_full Black Diaphragm Intraocular Lens Implantation in Patients with Aniridia
title_fullStr Black Diaphragm Intraocular Lens Implantation in Patients with Aniridia
title_full_unstemmed Black Diaphragm Intraocular Lens Implantation in Patients with Aniridia
title_short Black Diaphragm Intraocular Lens Implantation in Patients with Aniridia
title_sort black diaphragm intraocular lens implantation in patients with aniridia
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6388531/
https://www.ncbi.nlm.nih.gov/pubmed/30820283
http://dx.doi.org/10.4103/jovr.jovr_244_17
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