UNASSIGNED: This retrospective interventional study was done for 6 eyes that received an artificial iris as secondary reconstructive measure for photophobia and unsatisfactory vision following initial globe repair. Different implantation techniques were employed. These included simple sulcus implantation, implantation of a composite (iris prosthesis with attached intraocular lens) implant, and combinations with phacoemulsification, vitrectomy, and penetrating keratoplasty.
UNASSIGNED: In all cases, the artificial iris was implanted successfully. In the follow-up period (1-48 months), postoperative complications included rhegmatogenous retinal detachment, prolonged intraocular inflammation, and corneal transplant decompensation due to graft rejection. There was no case of secondary glaucoma. Complications could be managed successfully. All patients showed improved best-corrected visual acuity and were satisfied with functional and cosmetic results.
UNASSIGNED: This case series highlights the different implantation techniques for reconstruction of the anterior segment after ocular trauma. The versatility of the custom-made iris implant accounts for a wide range of applications and the foldable material reduces the need for large incisions in the already traumatized eye.
■这项回顾性介入研究是对6只眼睛进行的,这些眼睛接受了人工虹膜作为初次眼球修复后畏光和视力不佳的辅助重建措施。采用不同的植入技术。这些包括简单的沟植入,植入复合(虹膜假体与附加人工晶状体)植入物,以及与白内障超声乳化术的组合,玻璃体切除术,穿透性角膜移植术.
■在所有情况下,人工虹膜植入成功。在随访期间(1-48个月),术后并发症包括孔源性视网膜脱离,长时间的眼内炎症,和角膜移植代偿失调由于移植排斥。无继发性青光眼病例。并发症可以成功管理。所有患者的最佳矫正视力均得到改善,并且对功能和美容效果感到满意。
■本病例系列重点介绍了眼外伤后眼前段重建的不同植入技术。定制的虹膜植入物的多功能性占广泛的应用范围,可折叠材料减少了对已经受到创伤的眼睛中的大切口的需求。