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Purpose: To evaluate the safety and efficacy of surgical implantation of prost hetic iris devices in patients with iris deficiency. Methods: Nine patients with traumatic iris defects, congenital aniridia or iris coloboma, and surgical or o ptical iridectomies were included in a noncomparative case series. Cataract surg ery with intraocular lens and prosthetic iris implantation was performed in 10 e yes. The visual acuity, subjective degree of glare disability, postoperative ana tomic results, and intraoperative and postoperative complications were evaluated . Results: The mean follow-up was 17.75 months (range 4-48 months). Best-corr ected visual acuity improved in nine of 10 eyes (90%) and remained unchanged in one eye. Glare subjectively improved in four of five eyes (80%) of patients co mplaining of glare preoperatively. All eyes achieved the desired anatomic result . Intraoperative complications included one anterior capsular tear. Postoperativ e complications included a short period of mild postoperative anterior uveitis in four eyes. Secondary glaucoma was absent. Conclusion: In patients w ith iris deficiency, implantation of prosthetic iris device, and intraocular len s implant following cataract surgery appears to be safe and effective in reducin g glare disability and improving visual outcomes.
Purpose: To evaluate the safety and efficacy of surgical implantation of prost hetic iris devices in patients with iris deficiency. Methods: Nine patients with traumatic iris defects, congenital aniridia or iris coloboma, and surgical or otical iridectomies were included in a noncomparative case series The visual acuity, subjective degree of glare disability, postoperative ana tomic results, and intraoperative and postoperative complications were evaluated. Results: The mean follow-up was 17.75 Best-corr ected visual acuity improved in nine of 10 eyes (90%) and remained unchanged in one eye. Glare subjectively improved in four of five eyes (80%) of patients co mplaining of glare preoperatively. All eyes achieved the desired anatomic result. Intraoperative complications included one anterior capsular tear. Postoperativ e complications included a short peri In patients w ith iris deficiency, implantation of prosthetic iris device, and intraocular len s implant following cataract surgery appears to be safe and effective in reducin g glare disability and improving visual outcomes.