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J. Clin. Med. 2019, 8(1), 46;

Transscleral Fixation of Black Diaphragm Intraocular Lens in Complete Aniridia and Aphakia Due to Posttraumatic Eye Rupture: A Pilot Study

Department of General Ophthalmology, Medical University of Lublin, ul. Chmielna 1, 20-079 Lublin, Poland
Institute for Ophthalmic Research, University Eye Hospital, 72076 Tübingen, Germany
Eye Clinic, University of Catania, Via S. Sofia 78, 95123 Catania, Italy
Department for Ophthalmology, University Medicine Rostock, Doberaner Straße 140, 18055 Rostock, Germany
Department of Experimental Pharmacology, Medical Research Centre, Polish Academy of Sciences, 02-106 Warsaw, Poland
These authors contributed equally to this work.
Author to whom correspondence should be addressed.
Received: 3 December 2018 / Revised: 25 December 2018 / Accepted: 28 December 2018 / Published: 5 January 2019
(This article belongs to the Section Ophthalmology)
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Introduction: To assess long-term outcomes of implantation of black diaphragm intraocular lens (BD IOL) in post-traumatic aniridia and aphakia due to eye rupture. Methods: This is a retrospective consecutive case series of 14 eyes with post-traumatic complete aniridia and aphakia treated with scleral fixation BD IOL. Measurements included ophthalmological comorbidities, best corrected visual acuity (BCVA), complications, and postoperative interventions. The average postoperative follow-up period was 36 months. Results: BCVA improved in 6 cases, was stable in 6 cases and worsened in 2 cases. The lens was well centered in 13 cases. Glaucoma was diagnosed in six cases developed, and three of them required Ahmed valve implantation. One lens developed opacity. The cornea was decompensated in 6 cases, while two of them required penetrating keratoplasty. Conclusion: Implantation of BD IOL in eyes with severely traumatized eyes enables reconstruction of the anterior segment and some functional restoration, although many complications may arise during the longitudinal follow-up. View Full-Text
Keywords: eye rupture; vitrectomy; aniridia; aphakia; intraocular lens eye rupture; vitrectomy; aniridia; aphakia; intraocular lens

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Chorągiewicz, T.; Nowomiejska, K.; Haszcz, D.; Nowakowska, D.; Avitabile, T.; Reibaldi, M.; Jünemann, A.G.M.; Toro, M.D.; Rejdak, R. Transscleral Fixation of Black Diaphragm Intraocular Lens in Complete Aniridia and Aphakia Due to Posttraumatic Eye Rupture: A Pilot Study. J. Clin. Med. 2019, 8, 46.

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