Christodoulou Eleni, Batsos Georgios, Parikakis Efstratios, Papadopoulos Vlasios, Karagiannis Dimitrios, Koumoutsos Panagiotis Petros, Tsilis Alexandros, Drazinos Spyridon
Ophthalmology Department, Corfu General Hospital, Corfu, Greece.
2nd Ophthalmology Department, Ophthalmiatreio Eye Hospital of Athens, Athens, Greece.
Case Rep Ophthalmol. 2021 Apr 12;12(1):204-207. doi: 10.1159/000511099. eCollection 2021 Jan-Apr.
We report a novel approach for managing traumatic total aniridia associated with secondary glaucoma. A 65-year-old male with symptoms of blurred vision, glare, and photophobia was managed in a district general hospital for post-traumatic aniridia associated with secondary glaucoma affecting the right eye. The patient previously suffered blunt ocular injury associated with rhegmatogenous retinal detachment, which was treated with pars plana vitrectomy and silicone oil (SO) tamponade and subsequent removal of SO (ROSO). Combined trabeculectomy and implantation of a foldable prosthetic iris (Reper NN Ltd) successfully addressed the dual pathology of aniridia and secondary glaucoma. In summary, the utilization of the trabeculectomy fistula can serve as the implant insertion site, which minimizes the requirement for additional incisions.
我们报告了一种治疗与继发性青光眼相关的创伤性完全无虹膜症的新方法。一名65岁男性，有视力模糊、畏光和眩光症状，在一家地区综合医院接受治疗，其右眼患有与继发性青光眼相关的创伤性无虹膜症。该患者此前曾遭受钝性眼外伤并伴有孔源性视网膜脱离，接受了玻璃体切除术和平坦部硅油（SO）填塞治疗，随后取出了硅油（ROSO）。小梁切除术联合可折叠人工虹膜植入术（Reper NN Ltd）成功解决了无虹膜症和继发性青光眼的双重病变。总之，利用小梁切除瘘管作为植入物插入部位，可将额外切口的需求降至最低。
