IRIS PROSTHETIC SYSTEM FOR DEFICIENCIES OF THE IRIS COMBINED WITH SMALL INCISION CATARACT SURGERY

97th DOG Annual Meeting 1999

V471
IRIS PROSTHETIC SYSTEM FOR DEFICIENCIES OF THE IRIS COMBINED WITH SMALL INCISION CATARACT SURGERY

H. Hermeking, B. Baumgarten, E. Gerke

Setting: Sufficient prosthetic replacement of defects of the iris in eyes with planed small incision cataract surgery.

Patients and method: Development of a capsular iris prosthesis which enables the compensation of defects of the iris up to aniridia. We implanted the prosthesis in 30 eyes. The indication for implantation was in one case congenital aniridia. In 11 cases iatrogenic iridotomies were the cause for the use of the prosthesis. At least 5 eyes had suffered en bloc resections.

Results: The prosthesis showed in all cases a stabile position. The sizes of the pupils (3 or 4 mm) are reproducible. The multi layer implantation permits the artificial compensation of the iris. With the exception of one case, all patients showed a functional improvement. This case developed postoperatively an angiographic ensured CME.

Conclusion: The Iris Prosthetic System is a useful supplementing of small incision cataract surgery in case of defects of the iris.

Klinikum Wuppertal GmbH, Klinikum der Universität Witten/Herdecke, Akademisches Lehrkrankenhaus der Heinrich-Heine-Universität Düsseldorf Augenklinik Heusnerstr. 40, D-42283 Wuppertal

Back