Long-term results after artificial iris implantation in patients with aniridia

Rickmann, Annekatrin; Szurman, Peter; Januschowski, Kai; Waizel, Maria della Volpe; Spitzer, Martin S.; Boden, Karl; Szurman, Gesine B.

doi:10.1007/s00417-016-3292-3

Cited by 40 publications

(79 citation statements)

References 18 publications

(15 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Conformité Européenne approved use of Artificial Iris in 2011, and it is currently undergoing the US Food and Drug Administration approval process in the United States. [ 16 ] The implantation of the Artificial Iris , particularly after iris-fixated IOL implantation with probable postoperative complications, such as intraocular inflammation, glaucoma, [ 21 ] corneal edema, and endothelial cell loss, [ 22 ] in traumatic cases, might provoke a lack of enthusiasm for these surgical procedures. Contradictory reports exist regarding certain cosmetic types [ 23 ] of anterior-chamber Artificial Iris implantation in phakic eyes.…”

Section: Discussionmentioning

confidence: 99%

“…A recent case series concerning Artificial Iris reported high levels of patient satisfaction and postoperative vision improvement. [ 10 , 13 , 16 , 21 , 25 ] The Artificial Iris should not be confused with other devices available under the trademark Newiris (Kahn Medical Devices Corp.) or other cosmetic implants. [ 23 ]…”

Section: Discussionmentioning

confidence: 99%

“…Some of the border was made slightly smaller (11 mm) [ 20 , 21 ] than the measurements above for glaucoma prevention.…”

Section: Case Reportmentioning

confidence: 99%

See 2 more Smart Citations

Implantation of ArtificialIris, a CustomFlex irisprosthesis, in a trauma patient with an Artisan lens

Doroodgar

Jabbarvand²,

Niazi³

et al. 2017

Medicine

View full text Add to dashboard Cite

Purpose:To evaluate probable complications of ArtificialIris implantation with iris fixated intraocular lens.Method:Development of photophobia, glare, and psychological strain during face-to-face communication in a 23-year-old man with a widespread traumatic iris defect terminate to make a decision for performing implantation of an ArtificialIris (Humanoptics, Erlangen, Germany) under the remnant iris without removing the patient's existing Artisan lens.Results:Without any intraoperative or postoperative complications, the patient's visual acuity increased by 1 line, the endothelial cell loss was comparable with the cell loss associated with standard cataract surgery, and the anterior-chamber depth and anterior-chamber anatomy did not change. At the final follow-up examination, the mean intraocular pressure did not differ from baseline, and we achieved high level of patient satisfaction and subjective vision improvement. We discuss the particular importance of considering the patient's expectations, the appropriate measurements, ways to perfect color evaluation, and the types of ArtificialIris products.Conclusion:The implantation of the ArtificialIris in patients with aphakic iris-supported lenses (ie, pre-existing Artisan lenses) is a feasible approach and a useful option for patients with thin irises and iris hypoplasia who are at risk of subluxation or the dislocation of the posterior-chamber intraocular lens (PCIOL), and also those with sclerally fixed PCIOLs.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Implantation of ArtificialIris, a CustomFlex irisprosthesis, in a trauma patient with an Artisan lens

Doroodgar

Jabbarvand²,

Niazi³

et al. 2017

Medicine

View full text Add to dashboard Cite

show abstract

“…As far as treatment options for ocular diseases are concerned in aniridia, implantation of artificial iris implants or colored iris diaphragm intraocular lens following cataract surgery improve postoperative outcomes by reducing glare disability and improving visual acuity [5,6]. Spectrums of corneal diseases are treated with artificial tears and autologus serum drops to limbal stem cell transplantation with or without sequential keratoplasty [7].…”

Section: Discussionmentioning

confidence: 99%

Congenital Aniridia with Ectopia Lentis

Kusumesh

Ambastha

2016

JCDR

View full text Add to dashboard Cite

“…Доступны модели с различным внешним диаметром, формой и краем опорной части. Окраска искусственной радужки может быть максимально адаптирована к цвету и рисунку естественной радужной оболочки парного глаза пациента и выполняться по индивидуальному заказу [2,15,18,20].…”

Section: результаты и обсуждениеunclassified

Clinical and Functional Outcomes of Lens-Iris Diaphragm Implantation with Simultaneous Subtotal Penetrating Keratoplasty: a 15-Year Follow-Up Case Report

et al. 2019

View full text Add to dashboard Cite

Combined traumatic injuries of the anterior eye segment are attributed to the severe consequences of the injured organ of vision. Iris defects result in spherical and chromatic aberrations, diplopia, flares, severe photophobia, cosmetic defects, and significantly reduced visual acuity after the injury. The literature describes various methods to restore visual functions impaired as a result of aniridia. Use of an artificial iris together with an intraocular lens pathology results in optimal reconstruction and recovery of normal anterior segment anatomy and topography. In this paper, we provide a report on a patient followed up for 15 years after combined reconstruction eye surgery for an off-the-job penetrating eye injury sustained in 2003. A complex intervention was required due to the involvement of the cornea, iris, and lens. In 2004, the patient underwent a lens-iris diaphragm implantation combined with penetrating keratoplasty. The diaphragm implantation was followed by an improvement in visual acuity and elimination of photophobia and flares. There were no intra- or postoperative complications. Two years later, LASIK refractive surgery was performed on the corneal transplant to eliminate induced ametropia. The patient retained good eye function, with a stable position of the lens-iris diaphragm, for many years after the diaphragm implantation, keratoplasty, and refractive surgery. In 2018, he had an intravitreal implant impregnated with dexamethasone, as changes in the retina had developed. The long-term follow-up in this case demonstrates that the implantation of a lens-iris diaphragm resulted in an elimination of undesirable optical events associated with aniridia and produced an optimal functional result, while also improving the patient’s quality of life with a good aesthetic effect.

show abstract

Long-term results after artificial iris implantation in patients with aniridia

Cited by 40 publications

References 18 publications

Implantation of ArtificialIris, a CustomFlex irisprosthesis, in a trauma patient with an Artisan lens

Implantation of ArtificialIris, a CustomFlex irisprosthesis, in a trauma patient with an Artisan lens

Congenital Aniridia with Ectopia Lentis

Clinical and Functional Outcomes of Lens-Iris Diaphragm Implantation with Simultaneous Subtotal Penetrating Keratoplasty: a 15-Year Follow-Up Case Report

Contact Info

Product

Resources

About