A Case of Isolated Traumatic Aniridia in a Pseudophakic Eye

Mi Young Kwon; Hye Jin Hong; Dae Jin Park

doi:10.3341/jkos.2018.59.12.1185

Journal List > J Korean Ophthalmol Soc > v.59(12) > 1109307

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Kwon, Hong, and Park: A Case of Isolated Traumatic Aniridia in a Pseudophakic Eye

Case Report

J Korean Ophthalmol Soc 2018;59(12):1185-1189.

Published online: 25 September 2018

DOI: https://doi.org/10.3341/jkos.2018.59.12.1185

A Case of Isolated Traumatic Aniridia in a Pseudophakic Eye

Mi Young Kwon, MD, Hye Jin Hong, MD, Dae Jin Park, MD

Department of Ophthalmology, Daegu Fatima Hospital, Daegu, Korea

Address reprint requests to Dae Jin Park, MD Department of Ophthalmology, Daegu Fatima Hospital, #99 Ayang-ro, Dong-gu, Daegu 41199, Korea Tel: 82-53-940-7140, Fax: 82-53-954-7417 E-mail: dj_oph_2540@hanmail.net

Received 22 February 2018 Revised 17 April 2018 Accepted 27 November 2018

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

We report a rare case of isolated traumatic aniridia in a pseudophakic eye.

Case summary

A 69-year-old female came to our emergency department complaining of right eye pain and visual disturbance after trauma due to fall on the stairs. Five years earlier she had undergone an uncomplicated right sutureless phacoemulsification cataract extraction through a 2.2 mm temporal clear corneal incision, followed by insertion of a folding intracapsular intraocular lens. Total iris expulsion occurred through the cataract incision without extension of the wound or disruption of the posterior capsule or intraocular lens.

Conclusions

We report a rare case of isolated traumatic aniridia in a pseudophakic eye, which has not been reported in the Republic of Korea.

Keywords: Aniridia, Pseudophkia, Trauma

References

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Figure 1.

Slit-lamp photography of the right eye at initial examination. The right eye shows a total hyphema.

Figure 2.

B-scan of the right eye at initial examination. There was no visible retinal detachment and vitreous hemorrhage.

Figure 3.

Slit-lamp photographs 1 day after admission, hyphema was improved. (A) It shows aniridia with a well-centered IOL in an intact capsular bag and blood clot on the IOL. (B) Iris pigmentation on temporal clear corneal incision. IOL = intraocular lens.

Figure 4.

Anterior segment optical coherence tomography of the right eye shows temporal clear corneal incision at the green arrow. The incision length was 1.83 mm (yellow double-headed arrow).

Figure 5.

Slit-lamp photograph 8 weeks after admission, aniridia with a well-centered IOL in an intact capsular bag. The blood clot had cleared from the IOL surface. IOL = intraocular lens.

Figure 6.

Anterior segment optical coherence tomography of the right eye reveals aniridia. An intraocular lens is shown at the green arrow (A). By contrast, the left eye has a normal iris structure, shown at the green arrow (B).

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