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Iris reconstruction using autologous iris preserved in cold balanced salt solution for 8 hours in iatrogenic total iridodialysis during cataract surgery: a case report.

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Author(s)
Seung Pil BangJong Hwa Jun
Keimyung Author(s)
Jun, Jong Hwa
Department
Dept. of Ophthalmology (안과학)
Journal Title
BMC Ophthalmology
Issued Date
2017
Volume
17
Issue
1
Keyword
Balanced salt solutionIatrogenicIris reconstructionTotal iridodialysis
Abstract
Background: A large iris defect or extensive iridodialysis can be an intractable cause of visual disturbance, photophobia,
glare, monocular diplopia, or cosmetic deformity. The implantation of an artificial iris substitute could be an effective
option, but this can cause a reduction in endothelial cell density. We succeeded in the anatomical restoration of iris
tissue that was totally dialyzed out of the eye, and was preserved in cold balanced salt solution for 8 h. Engrafted iris
tissue was maintained within the aqueous humor.
Case presentation: A 71-year-old man was referred to our clinic for management of an iatrogenic total iridodialysis. The
totally dialyzed iris tissue was immediately preserved in sterile cold balanced salt solution and packed in a sterile biopsy
bottle that was surrounded with ice cubes. Under general anesthesia, a pars plana vitrectomy was performed to remove
the remaining lens cortex and vitreous fiber anterior to the equator. A sulcus-positioned intraocular lens (IOL)
was repositioned and fixed by ab externo scleral sutures. Preserved iris tissue was inserted and ironed using both
iris spatula and ocular viscoelastic devices. Five-point ab interno scleral sutures were made 1.0 mm posterior to
the limbus.
Conclusions: The engrafted iris was successfully maintained for 6 months and did not undergo any atrophic change
or depigmentation, which may be caused by primary implantation failure due to a blocked blood supply.
Keimyung Author(s)(Kor)
전종화
Publisher
School of Medicine
Citation
Seung Pil Bang and Jong Hwa Jun. (2017). Iris reconstruction using autologous iris preserved in cold balanced salt solution for 8 hours in iatrogenic total iridodialysis during cataract surgery: a case report. BMC Ophthalmology, 17(1), 39–39. doi: 10.1186/s12886-017-0432-4
Type
Article
ISSN
1471-2415
DOI
10.1186/s12886-017-0432-4
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/32375
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Ophthalmology (안과학)
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