Scleral fixation of a three-piece IOL as a silicone oil barrier in case of a patient with aphakia, aniridia and retinal detachment

Author: Egor Arkhipov (Russian Federation)

Co-authors: Alexei Iakimov, Sergey Kuzmin

Purpose

To analyze the efficiency of the barrier function of a three-piece IOL with scleral fixation according to the method of Dr. Yamane during silicone tamponade in a patient with post-traumatic aniridia and aphakia.

Setting/Venue

Fyodorov Eye Microsurgery Federal State Institution, Irkutsk branch Russian Medical Academy of Continuing Professional Education, Irkutsk branch

Methods

Clinical case: 57 y.o. woman came with aphakia, aniridia and retinal detachment due to severe contusion. Surgical treatment was performed with vitrectomy, retinotomy, IOL implantation and tamponade with silicone oil. Duration of observation is 6 months.

Results

Retinal adherence was achieved. Eyesight from l. P. Incerta increased up to 0.05. IOL position was correct, centered. There was no migration of silicone oil into the anterior chamber.

Conlusions

Three-piece IOL with scleral fixation according to the method of Dr. Yamane in patients with aphakia and aniridia is a reliable barrier for silicone oil preventing it’s migration into the anterior chamber.