Challenges and Complication Management in Novel Artificial Iris Implantation

Figure 3

Two patients after artificial iris implantation with subluxation of the implant: Patient 1 (a–d) suffered from persistent traumatic mydriasis (a) and received a ciliary sulcus embedded fiber-free prosthesis without suture fixation (b). The prosthesis decentrated after 2 years with visual disturbances (c) and had to be refixed with sutures (d). This led to slight oval pupil shape. Patient 2 (e–h) suffered from aphakic and subtotal aniridia. An intraocular lens was attached to the artificial iris by sutures. This “sandwich” was implanted and sutured to the sclera at the 3 and 9 o’clock position (f, ∗∗). After 4 weeks, the implant tilted with the upper rim into the anterior chamber (g, arrow). Refixation with a third suture at the 11 o’clock position resolved that problem (h).

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