Traumatic total iridectomy with 'pseudo-iris
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Date
2020-04-01
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Abstract
Blunt trauma may cause a wound in the site of the cataract incision in patients that have received this surgery, even decades after the procedure. The opening of the incision seems to avoid globe rupture, acting as a 'liberating valve' We report a case of a 92-year-old woman with advanced dry macular degeneration who is referred to our department after suffering a blunt trauma in her left eye with a nightstand. She was diagnosed of a traumatic total iridectomy due to iris extrusion through a 2.75 mm cataract incision after injury and vitreous hemorrhage, sparing an intact intraocular lens and capsular bag, as well as peripheral remnants of cortical material in the capsular bag and anterior capsule opacity resembling 'pseudoiris'. After the vitreous hemorrhage was completely resolved she referred no photophobia. Consequently, although a bad visual acuity of the patient could mitigate patient's photophobia, we believed that her 'pseudoiris' plays an important role in diminishing the possible symptoms of photophobia.
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Publisher Copyright: © 2020 Elsevier B.V.. All rights reserved.
Keywords
Aniridia, photophobia, pseudoiris, traumatic iridectomy, wound, 3.2 Clinical medicine, 1.1. Scientific article indexed in Web of Science and/or Scopus database, Ophthalmology
Citation
Rocha-De-Lossada, C, Marina, R C D M, Rahul, R, Davide, B, Álvaro, S & Carlos, H A 2020, 'Traumatic total iridectomy with 'pseudo-iris', Saudi Journal of Ophthalmology, vol. 34, no. 2, pp. 131-133. https://doi.org/10.4103/1319-4534.305047