Combined Post-Traumatic Total Aniridia and Glaucoma Management

Eleni Christodoulou; Georgios Batsos; Efstratios Parikakis; Vlasios Papadopoulos; Dimitrios Karagiannis; Panagiotis Petros Koumoutsos; Alexandros Tsilis; Spyridon Drazinos

doi:10.1159/000511099

Combined Post-Traumatic Total Aniridia and Glaucoma Management

Case Rep Ophthalmol. 2021 Apr 12;12(1):204-207. doi: 10.1159/000511099. eCollection 2021 Jan-Apr.

Authors

Eleni Christodoulou¹, Georgios Batsos², Efstratios Parikakis², Vlasios Papadopoulos¹, Dimitrios Karagiannis², Panagiotis Petros Koumoutsos², Alexandros Tsilis¹, Spyridon Drazinos¹

Affiliations

¹ Ophthalmology Department, Corfu General Hospital, Corfu, Greece.
² 2nd Ophthalmology Department, Ophthalmiatreio Eye Hospital of Athens, Athens, Greece.

Abstract

We report a novel approach for managing traumatic total aniridia associated with secondary glaucoma. A 65-year-old male with symptoms of blurred vision, glare, and photophobia was managed in a district general hospital for post-traumatic aniridia associated with secondary glaucoma affecting the right eye. The patient previously suffered blunt ocular injury associated with rhegmatogenous retinal detachment, which was treated with pars plana vitrectomy and silicone oil (SO) tamponade and subsequent removal of SO (ROSO). Combined trabeculectomy and implantation of a foldable prosthetic iris (Reper NN Ltd) successfully addressed the dual pathology of aniridia and secondary glaucoma. In summary, the utilization of the trabeculectomy fistula can serve as the implant insertion site, which minimizes the requirement for additional incisions.

Keywords: Aniridia; Glaucoma; Ocular trauma; Vitrectomy.

Publication types

Case Reports