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Abstract #13170 Published in IGR 7-3
Iris reconstruction with a multipiece endocapsular prosthesis in iridocorneal endothelial syndrome
Khing C; Snyder MEJournal of Cataract and Refractive Surgery 2005; 31: 2051-2054
Iris reconstruction in cases of iridocorneal endothelial (ICE) syndrome is extremely challenging because of the nature of the iris tissue, which is typically friable and poorly suited to suture repair. Reconstruction in such cases often requires artificial iris implantation. This report illustrates cataract extraction and iris reconstruction with a multipiece endocapsular iris prosthesis that can be inserted through a small incision. Maintenance of a small incision size is a distinct advantage when glaucoma is coexistent in patients with ICE syndrome. It also demonstrates the presence of an ICE membrane over the anterior capsule and the importance of recognizing this membrane rather than confusing it with the anterior capsule when performing the capsulorhexis.
Dr. M.E. Snyder, MD, Cincinnati Eye Institute, 10494 Montgomery Road, Cincinnati, Ohio 45242, USA
Classification:
9.4.2.1 Iridocorneal endothelial syndrome (ICE, incl. irisatrophy) (Part of: 9 Clinical forms of glaucomas > 9.4 Glaucomas associated with other ocular and systemic disorders > 9.4.2 Glaucomas associated with disorders of the cornea, conjunctiva, sclera)
12.12.3 Phacoemulsification (Part of: 12 Surgical treatment > 12.12 Cataract extraction)