Triple procedure for coexistent aphakia, ectopic pupil, and vitreous floaters in a traumatic patient: Pars plana vitrectomy, scleral fixation and single-pass 4-throw pupilloplasty with iris sphincterectomy.
Author: Muhammed Altinisik (Turkey)
To describe the approaches to restoring the anterior and posterior segments of the eye in a traumatic patient with ectopic pupil, aphakia, and floaters.
The case was treated at Manisa Celal Bayar University, a tertiary university hospital in western Turkey.
A 54-year-old male patient with a 10-year history of ocular trauma and subsequent perforation repair in the left eye complained of poor vision, increased floatering in recent months. The patient had been wearing refractive contact lens. On examination, the patient had a visual acuity of counting fingers, aphakia, anterior synechiae in the inferonasal quadrant and eccentric pupil partly covering the visual axis only in a dilated state. In the posterior segment, there were vitreous condensations. The patient underwent a triple procedure surgery. Vitreous condensations were removed with pars plana vitrectomy, scleral fixation was performed with the Yamane technique, and single-pass 4-throw pupilloplasty with iris sphincterectomy was executed to centralize the pupil.
One month postoperatively, the patient achieved logMAR 1.0 vision. The iris was well reconstructed, the IOL was centralized and as well as the complaint of vitreous floaters was no longer present.
Simultaneous PPV, scleral fixation with the Yamane technique and single-pass 4-throw pupilloplasty with iris sphincterectomy was shown to be a safe surgical technique in a patient with traumatic aphakia, ectopic pupil and vitreous condansations.
I have no financial or proprietary interest in any material or method mentioned.
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