PMC3843930_01
Anterior segment and fundus photographs of the left eye. a At initial presentation, the dialyzed iris and the medial haptic of the pIOL were prolapsed with superior wound dehiscence (arrowhead). The Artiflex pIOL was dislocated in the anterior chamber, and another haptic was enclavated on the temporal iris (arrow). b Iridodialysis at 7 to 1 o'clock and prolapse of the iris and 1 of the haptics through the wound; the haptic-optic junction was stuck to the wound (arrowhead). c Slit-lamp photograph after primary repair. Partial aniridia at 7 to 1 o'clock with iridodialysis remained. d Fundus photography shows an inferior peripapillary subretinal hemorrhage 1 disc diameter in size (arrowheads).
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F1
The iris was dialyzed from 7 to 1 o'clock, and half had prolapsed along with the medial haptic side grasping the iris through the wound; the haptic-optic junction was stuck in the wound (fig. 1a, b). The corneoscleral laceration was repaired with 10-0 nylon with interrupted suture (fig. 1c). Hyphema and inflammation subsequently subsided, and then a traumatic cataract and a peripapillary subretinal hemorrhage 1 disc diameter in size were found (fig. 1d).
Photographs after the first and second operation. a Three weeks after presentation, the peripapillary subretinal hemorrhage had resolved. b Six weeks after blunt trauma, the traumatic posterior subcapsular cataract at the center of the lens had become denser, zonular dialysis (arrowhead) and an iris defect were found (arrow). c Five months after initial presentation, cataract extraction with toric IOL implantation and iridoplasty were performed. A capsular tension ring (arrow) was used for zonular dialysis. d Six months after the second operation, partial aniridia at the superior side of the left eye was partially covered by the upper eyelid.
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F2
The peripapillary subretinal hemorrhage resolved spontaneously (fig. 2a). Six weeks after primary repair, the traumatic cataract had become denser, and partial aniridia with iridodialysis remained (fig. 2b). Tex., USA; models T6-T9 were not available in Korea) was implanted to correct the large amount of astigmatism. A clear corneal incision was made on the steepest axis of the cornea, and a capsular tension ring was used for partial zonular dialysis. The iridodialysis was repaired with mattress sutures with 10-0 polypropylene (fig. 2c). Although partial aniridia remained, the patient experienced no discomfort during daily activities (fig. 2d).