Report on long-term results of artificial iris implants

A review of 34 patients with congential, traumatic iatrogenic aniridia who had surgery to implant artificial irises has found:

  • No repositioning of prostheses was necessary.
  • In cases of keratopathy (17.6 %) visual function increased from baseline mean.
  • The remaining iris tissue darkened during the follow-up in 23.5 % (83.3 % with and 10.7 % without mesh),
  • 8.8 % developed glaucoma (50 % with and 0 % without mesh)
  • 14.7 % needed consecutive surgery (50 % with and 7.1 % without mesh)

Conclusions

Good clinical outcome in terms of long-term stability, cosmetic appearance, visual function, and represents a good functional iris diaphragm for compartmentalisation.

Complications such as glaucoma, darkening of iris tissue, and need for consecutive anterior segment surgery are clearly associated with implants with integrated fiber mesh, but not to those without.

Hence, the use of full iris prostheses without embedded fiber mesh, even in cases with remnant iris, and the use of slightly smaller implants than officially recommended may be beneficial.

Read  the full study

Advertisements

About Aniridia Network UK

A charity support group for people with the genetic visual impairment aniridia and their families in the UK. Our vision is that people with/associated with aniridia are hopeful, confident, supported and well informed regarding aniridia. Founded in 2000. Registered as a charity in 2011 with HMRC reference XT26830
This entry was posted in Medical staff talking and tagged , . Bookmark the permalink.

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s