A new technique for treating posttraumatic aniridia with aphakia: first results of haptic fixation of a foldable intraocular lens on a foldable and custom-tailored iris prosthesis

Arch Ophthalmol. 2012 Jun;130(6):771-5. doi: 10.1001/archophthalmol.2011.1778.


We describe a new surgical technique for treating traumatic aniridia with aphakia and its results in a small consecutive case series. We attached a 3-piece acrylic intraocular lens through the haptics to a customized silicone iris prosthesis. The combined implant was inserted through a 5-mm incision and fixated with a transscleral suture in the ciliary sulcus using a knotless technique (Z suture). In all patients, the combined implant stayed firmly fixed within the sulcus and showed a stable and centered position without any tilt or torque during follow-up. Thus, managing posttraumatic aniridia with aphakia by means of haptic fixation of a foldable intraocular lens on a custom-tailored iris prosthesis is a promising approach for visual rehabilitation and cosmetic improvement.

MeSH terms

  • Adult
  • Aged
  • Aphakia, Postcataract / etiology
  • Aphakia, Postcataract / surgery*
  • Eye Injuries, Penetrating / etiology
  • Eye Injuries, Penetrating / surgery*
  • Humans
  • Iris / injuries*
  • Lens Implantation, Intraocular / methods*
  • Lenses, Intraocular*
  • Male
  • Middle Aged
  • Prostheses and Implants
  • Refraction, Ocular / physiology
  • Rupture
  • Silicone Elastomers*
  • Suture Techniques*
  • Vision Disorders / rehabilitation
  • Visual Acuity / physiology


  • Silicone Elastomers