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Traumatic Total Iridectomy Due to Iris Extrusion Through a Self-sealing Cataract Incision
Arch Ophthalmol. 1999;117:542-543.
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Blunt ocular trauma occurring in the postoperative period after cataract extraction can result in severe visual loss with extrusion of iris, vitreous, and retinal tissue through the ruptured cataract wound. We report a case of isolated iris loss in a pseudophakic patient who had undergone sutureless cataract extraction and intraocular lens implantation. There are reports of phakic patients who developed isolated traumatic aniridia after corneal and scleral ruptures.1-4 To our knowledge, this is the first case of isolated traumatic total iridectomy in a pseudophakic patient.
Report of a Case.
An 82-year-old woman with age-related macular degeneration and geographic atrophy had undergone cataract extraction of the right eye and intraocular lens implantation. The scleral self-sealing cataract wound was posterior to the limbus and was 5.25 mm in length. She did well until 12 weeks later, when she fell and struck her right orbital region on a cabinet edge while on vacation. She noted an immediate . . . [Full Text of this Article] Comment.
Reprints: Jennifer I. Lim, MD, Doheny Eye Institute, USC School of Medicine, 1450 San Pablo St, Suite 4703, Los Angeles, CA 90033 (e-mail: jennifil@hsc.usc.edu).
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
Total Aniridia After Nonperforating Trauma of a Pseudophakic Eye: Ultrasound Biomicroscopic Findings
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J Ultrasound Med 2007;26:1795-1797.
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