To discuss the limitations and benefits of the BrightOcular prosthetic artificial iris device in management of aniridia associated with aphakia or cataract.
This is a retrospective study including 5 eyes of 4 patients who underwent implantation of the BrightOcular iris prosthesis (Stellar Devices) for total or partial aniridia. The cases included 2 eyes of 1 patient with congenital aniridia associated with congenital cataract and 3 eyes with traumatic aniridia: 1 with subluxated cataractous lens and 2 with aphakia. In all cases, the iris prosthesis was implanted after a 3-piece acrylic intraocular lens was implanted. We evaluated the clinical course with a minimum follow-up period of 6 months, the intraoperative and postoperative complications, and the cosmetic satisfaction of patients.
All patients had improved uncorrected distance visual acuity and best-corrected distance visual acuity. All patients had a transient corneal edema that resolved within the first postoperative week. Only the patient with congenital aniridia had a permanent increase in intraocular pressure and developed a band keratopathy throughout a 2-year follow-up period. The prosthesis was well-centered in all eyes except for one case that required scleral suture fixation after 3 months. All patients had a satisfactory cosmetic appearance.
BrightOcular iris prosthesis is a safe and useful tool to correct aniridia associated with pseudophakia or aphakia. Being foldable, it is easy to be implanted through a small incision and placed in the ciliary sulcus without sutures when properly sized. Cosmetic results are satisfactory. Sizing methods should be improved.
Post author correction
Article Type: ORIGINAL RESEARCH ARTICLE
Article Subject: Trauma
AuthorsYehia S. Mostafa, Amr A. Osman, Dina H. Hassanein, Ashraf M. Zeid, Ahmed M. Sherif
- • Accepted on 10/05/2017
- • Available online on 27/05/2017
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- Mostafa, Yehia S. [PubMed] [Google Scholar] 1
- Osman, Amr A. [PubMed] [Google Scholar] 1
- Hassanein, Dina H. [PubMed] [Google Scholar] 1, * Corresponding Author (firstname.lastname@example.org)
- Zeid, Ashraf M. [PubMed] [Google Scholar] 2
- Sherif, Ahmed M. [PubMed] [Google Scholar] 1
Department of Ophthalmology, Cairo University, Cairo - Egypt
Department of Ophthalmology, Ain Shams University, Cairo - Egypt