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CASE REPORT
Year : 2020  |  Volume : 34  |  Issue : 2  |  Page : 131-133

Traumatic total iridectomy with “pseudo-iris”


1 Hospital Regional Universitario de Málaga, Ophthalmology Department, Spain
2 Royal Liverpool University Hospital, Ophthalmology Department, Liverpool, UK

Correspondence Address:
Carlos Rocha-de-Lossada
Regional University Hospital of Malaga, Ophthalmology Department Liverpool
Spain
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1319-4534.305047

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Blunt trauma may cause a wound in the site of the cataract incision in patients that have received this surgery, even decades after the procedure. The opening of the incision seems to avoid globe rupture, acting as a “liberating valve” We report a case of a 92-year-old woman with advanced dry macular degeneration who is referred to our department after suffering a blunt trauma in her left eye with a nightstand. She was diagnosed of a traumatic total iridectomy due to iris extrusion through a 2.75 mm cataract incision after injury and vitreous hemorrhage, sparing an intact intraocular lens and capsular bag, as well as peripheral remnants of cortical material in the capsular bag and anterior capsule opacity resembling ”pseudoiris“. After the vitreous hemorrhage was completely resolved she referred no photophobia. Consequently, although a bad visual acuity of the patient could mitigate patient's photophobia, we believed that her ”pseudoiris” plays an important role in diminishing the possible symptoms of photophobia.


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