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