Purpose:  

Nearby cosmetic IOL and pupillary reconstruction, the artificial iris is a better solution. We show our strategy to suture a foldable IOL on the back surface of the artificial iris to achieve a cosmetic and refractive result on postraumatic aniridia.

Setting / Venue: 

Department of Ophthalmology, Hospital S. Maria delle Croci, Ravenna, Italy.

Methods:

We reviewed 5 eyes with combined anterior and posterior segment injuries. Open-sky surgery technique and mini-invasive 25/23G system was used to repair ocular injuries, necessitating the use of temporary keratoprothesis for exploration and reconstruction. But, at the end, the iris was too much destroyed for reconstruction. So, after 3 months, we performed artificial iris implantation with intraocular foldable lens suturing at the artificial iris.

Results:

In these cases with posttraumatic aniridia, the artificial iris with intraocular lens remained stable.

Conclusions:

In case of posttraumatic aniridia, the artificial iris with suturing the IOL to the back surface of the artificial iris provides excellent anatomical, functional and aesthetic results.