Scleral fixation intraocular lens as a barrier for silicone oil in traumatic aphakia, aniridia, and recurrent retinal detachment:case report

Chien-Chi Tseng; San-Ni Chen; Jiunn-Feng Hwang; Chang-Ping Lin; Chun-Ju Lin

doi:10.1097/ICB.0b013e3181f047ca

Scleral fixation intraocular lens as a barrier for silicone oil in traumatic aphakia, aniridia, and recurrent retinal detachment:case report

Retin Cases Brief Rep. 2011 Summer;5(3):256-8. doi: 10.1097/ICB.0b013e3181f047ca.

Authors

Chien-Chi Tseng¹, San-Ni Chen, Jiunn-Feng Hwang, Chang-Ping Lin, Chun-Ju Lin

Affiliation

¹ From the *Department of Ophthalmology, Changhua Christian Hospital, Taiwan; †School of Medicine, Chung Shan Medical University, Taichung, Taiwan; and ‡Department of Optometry, Chung Hwa University of Medical Technology, Taiwan.

PMID: 25390179
DOI: 10.1097/ICB.0b013e3181f047ca

Abstract

Purpose: We report a patient with recurrent retinal detachment complicated with traumatic aniridia and aphakia, which was successfully managed by scleral fixation polymethyl methacrylate posterior chamber intraocular lens (PMMA PCIOL) and vitrectomy with silicon oil tamponade.

Method: Interventional case report.

Results: A 35-year-old man with traumatic aniridia, aphakia, and recurrent retinal detachment who received the combined surgery of scleral fixation PMMA PCIOL and vitrectomy with silicon oil tamponade. The patient had favorable visual outcome. The retina was reattached and the cornea remained clear without silicon oil in the anterior chamber after 1 year.

Conclusion: The scleral fixation PMMA PCIOL can retain the silicone oil in the vitreous cavity for reattaching the retina and can also protect the corneal endothelium from contact with the silicone oil in the case of aniridia, aphakia, and retinal detachment.