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Surgical management for silicone oil barrier of traumatic aniridia with aphakia: Suturing of temporary iris-diaphragm prior to final iris-lens-diaphragm implantation

Clinical Ophthalmology Dec 23, 2020

Mayer CS, Baur I, Storr J, et al. - In the present study, the researchers sought to report a two-step procedure in trauma cases, using sutures for silicone oil retention in primary care and subsequently prior to secondary artificial iris (AI) and intraocular lens (IOL) implantation, in order to rebuild the anterior and posterior chambers. Seven patients with loss of the iris-lens-diaphragm following ocular trauma and the need for silicone oil endotamponade had a primary intervention including wound closure, placement of silicone oil retention sutures and silicone oil filling. After secondary reconstruction surgery, no eye required silicone oil refilling. The two-step approach offers good functional and aesthetic outcomes and is feasible. The authors noticed a high degree of patient satisfaction.

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