Iris and Lens Trauma – Iris Reconstruction

Abstract

Iris and lens injuries entail a large spectrum and occur in closed and open globe injuries. Depending on accompanying ocular trauma (e.g. corneal involvement) as well as on the extend of the injuries several different surgical options are available ranging from suturing techniques to special individualized implants. The aim of this article is to present and discuss current treatment options for lens and iris trauma in regards to typical cases.

Key words

trauma - cataract - cornea

Publikationsverlauf

Eingereicht: 23. Juni 2020

Angenommen: 24. August 2020

Artikel online veröffentlicht:
23. September 2020

• References/Literatur

• 1 Delori F, Pomerantzeff O, Cox MS. Deformation of the globe under high-speed impact: it relation to contusion injuries. Invest Ophthalmol 1969; 8: 290-301
• 2 Bansal S, Gunasekeran DV, Ang B. et al. Controversies in the pathophysiology and management of hyphema. Surv Ophthalmol 2016; 61: 297-308 doi:10.1016/j.survophthal.2015.11.005
• 3 Viestenz A, Küchle M. [Blunt ocular trauma. Part I: blunt anterior segment trauma. ] Ophthalmologe 2004; 101: 1239-1257 doi:10.1007/s00347-004-1118-x
• 4 Ball J, Caesar R, Choudhuri D. Mystery of the vanishing iris. J Cataract Refract Surg 2002; 28: 180-181 doi:10.1016/s0886-3350(01)01026-4
• 5 Kuhn F. Iris and Pupil. In: Kuhn F. ed. Ocular Traumatology. Berlin, Heidelberg: Springer; 2008: 231-244
• 6 Joussen A, Strauß O, Winterhalter S. et al. Okuläre Hypotonie – Ursachen und therapeutische Möglichkeiten aus Sicht des Netzhautchirurgen. Klin Monbl Augenheilkd 2016; 233: 1024-1032 doi:10.1055/s-0042-109708
• 7 Kuhn F. Traumatic cataract: what, when, how. Graefes Arch Clin Exp Ophthalmol 2010; 248: 1221-1223 doi:10.1007/s00417-010-1387-9
• 8 Négrel AD, Thylefors B. The global impact of eye injuries. Ophthalmic Epidemiol 2009; 5: 143-169 doi:10.1076/opep.5.3.143.8364
• 9 May DR, Kuhn FP, Morris RE. et al. The epidemiology of serious eye injuries from the United States Eye Injury Registry. Graefes Arch Clin Exp Ophthalmol 2000; 238: 153-157 doi:10.1007/pl00007884
• 10 Bućan K, Matas A, Lovrić JM. et al. Epidemiology of ocular trauma in children requiring hospital admission: a 16-year retrospective cohort study. J Glob Health 2017; 7: 010415 doi:10.7189/jogh.07.010415
• 11 Sahraravand A, Haavisto AK, Holopainen JM. et al. Ocular traumas in working age adults in Finland – Helsinki Ocular Trauma Study. Acta Ophthalmol 2016; 95: 288-294 doi:10.1111/aos.13313
• 12 Rohrbach JM, Steuhl KP, Knorr M. et al. Ophthalmologische Traumatologie, Textbuch und Atlas. Stuttgart, New York: Schattauer; 2002: 159
• 13 Xue C, Yang LC, Kong YC. Application of pediatric ocular trauma score in pediatric open globe injuries. Int J Ophthalmol 2020; 13: 1097-1101 doi:10.18240/ijo.2020.07.13
• 14 Özbilen KT, Altınkurt E. Impact of the possible prognostic factors for visual outcomes of traumatic cataract surgery. Int Ophthalmol 2020;
• 15 Boret C, Brehin C, Cortey C. et al. Pediatric ocular trauma: Characteristics and outcomes among a French cohort (2007–2016). Arch Pediatr 2020; 27: 128-134 doi:10.1016/j.arcped.2020.01.002
• 16 Huang PW, Huang WH, Tai YC. et al. Femtosecond laser-assisted cataract surgery in a patient with traumatic cataract and corneal opacity after LASIK: a case report. BMC Ophthalmol 2020; 20: 218 doi:10.1186/s12886-020-01491-0
• 17 Tabatabaei SA, Soleimani M, Etesali H. et al. Accuracy of swept source optical coherence tomography and ultrasound biomicroscopy for evaluation of posterior lens capsule in traumatic cataract. Am J Ophthalmol 2020;
• 18 Dubey R, Birchall W, Grigg J. Improved refractive outcome for ciliary sulcus-implanted intraocular lenses. Ophthalmology 2012; 119: 261-265 doi:10.1016/j.ophtha.2011.07.050
• 19 Sen P, Shah C, Sen A. et al. Primary versus secondary intraocular lens implantation in traumatic cataract after open-globe injury in pediatric patients. J Cataract Refract Surg 2018; 44: 1446-1453 doi:10.1016/j.jcrs.2018.07.061
• 20 Lian RR, Siepser SB, Afshari NA. Iris reconstruction suturing techniques. Curr Opin Ophthalmol 2020; 31: 43-49 doi:10.1097/ICU.0000000000000628
• 21 Gupta S, Selvan H, Shakrawal J. et al. One-step management of post-traumatic triple dialysis using two rings. Eur J Ophthalmol 2019; 29: NP9-NP13 doi:10.1177/1120672118803520
• 22 Ogawa GS. The iris cerclage suture for permanent mydriasis: a running suture technique. Ophthalmic Surg Lasers 1998; 29: 1001-1009 doi:10.3928/1542-8877-19981201-12
• 23 Frisina R, Parrozzani R, Tozzi L. et al. Pupil cerclage technique for treatment of traumatic mydriasis. Eur J Ophthalmol 2020; 30: 480-486 doi:10.1177/1120672119839304
• 24 Beltrame G, Salvetat ML, Chizzolini M. et al. Implantation of a black diaphragm intraocular lens in ten cases of post-traumatic aniridia. Eur J Ophthalmol 2003; 13: 62-68 doi:10.1177/112067210301300109
• 25 Reinhard T, Engelhardt S, Sundmacher R. Black diaphragm aniridia intraocular lens for congenital aniridia: long-term follow-up. J Cataract Refract Surg 2000; 26: 375-381 doi:10.1016/s0886-3350(99)00432-0
• 26 Srinivasan S, Ting DSJ, Snyder ME. et al. Prosthetic iris devices. Can J Ophthalmol 2014; 49: 6-17 doi:10.1016/j.jcjo.2013.10.001
• 27 Wang H, Jung J, Lin SR. et al. Safety and Efficacy of Colored Iris Reconstruction Lens Implantation. Am J Ophthalmol 2020;
• 28 Riedl JC, Schuster AK, Vossmerbaeumer U. [Indications and surgical techniques for implantation of the Artificial Iris^®]. Ophthalmologe 2020; 98: e16083 doi:10.1007/s00347-020-01043-3
• 29 Mayer C, Tandogan T, Hoffmann AE. et al. Artificial iris implantation in various iris defects and lens conditions. J Cataract Refract Surg 2017; 43: 724-731 doi:10.1016/j.jcrs.2017.06.003