Transscleral sulcus fixation of a small-diameter iris-diaphragm intraocular lens in combined penetrating keratoplasty and cataract extraction for correction of traumatic cataract, aniridia, and corneal scarring

J Cataract Refract Surg. 2008 Dec;34(12):2170-3. doi: 10.1016/j.jcrs.2008.06.048.


We present the case of a 36-year-old Hispanic man who presented with photophobia and hand motion acuity from a lacerated cornea. Primary repair had been performed 13 years earlier. In addition to a densely scarred cornea and a fibrotic, partially resorbed cataract, more than 300 degrees of iris loss was noted. The patient was treated with penetrating keratoplasty, cataract extraction, and implantation of a transsclerally fixated, small-diameter aniridic intraocular lens (IOL). Despite the significant iris loss, a small-diameter IOL was chosen over a standard larger aniridic IOL to allow safer, more controlled insertion through an 8.0 mm trephination. Following surgery, the visual acuity improved to 20/25 with no symptoms of glare or photophobia.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Aniridia / surgery*
  • Cataract / etiology
  • Cataract Extraction / methods*
  • Corneal Diseases / surgery*
  • Eye Injuries
  • Humans
  • Keratoplasty, Penetrating / methods*
  • Lens Implantation, Intraocular / methods*
  • Lens, Crystalline / injuries*
  • Lenses, Intraocular*
  • Male
  • Sclera / surgery