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Middle East African Journal of Ophthalmology Middle East African Journal of Ophthalmology
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Year : 2012  |  Volume : 19  |  Issue : 3  |  Page : 334-336

Bilateral traumatic expulsive aniridia after phacoemulsification

1 Department of Ophthalmology and Visual Sciences, Illinois Eye and Ear Infirmary, University of Illinois at Chicago, Chicago, IL, USA
2 Department of Ophthalmology, Jesse Brown Veterans Affairs Medical Center, Chicago, IL, USA

Correspondence Address:
Mark W Lunde
Department of Ophthalmology, Jesse Brown Veterans Affairs Medical Center, 820 S. Damen Ave., Chicago, IL 60612
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0974-9233.97948

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We report a case of bilateral traumatic expulsive aniridia after uneventful phacoemulsification through small clear corneal incisions. Phacoemulsification was performed 8 and 13 months prior to the trauma in the left and right eyes, respectively. In both eyes, the intraocular lens and capsular bag were undisturbed after trauma. After resolution of hyphema, transient elevated intraocular pressure, and anterior chamber inflammation, best corrected visual acuity returned to 20/25 in each eye 6 months later. Self-sealing clear corneal wounds likely serve as a decompression valve during blunt trauma, thus preventing devastating intraocular damage and globe rupture. The intraocular lens may absorb the external force, therefore preventing damage to the capsular bag and zonules as well as preventing prolapse of posterior structures. A review of previously reported cases of traumatic aniridia is also presented.

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