Challenges and Complication Management in Novel Artificial Iris Implantation

Figure 5

A 47-year-old woman with a 34-year iris defect and cataract after trauma (a). Results one year after artificial iris implantation: BCVA 20/20, clear media and stable situation (b). Two months later, the patient complained of a decreased BCVA of 20/200 and elevated IOP. Optical coherence tomography showed a cystoid macular edema (c), and slit lamp examination revealed descemet folds and corneal haze (d). Topical, intravitreal, and systemic medication did not improve BCVA. Explantation of the artificial iris (e) followed by perforating keratoplasty due to chronic inflammation and corneal decompensation. BCVA was 40/200 one year later.

(a)

(b)

(c)

(d)

(e)