Implantation of Artificial Iris, a CustomFlex® Irisprosthesis, in a Trauma Patient: A Case Report and Review Artificial Iris

Purpose: To evaluate probable complications of Artificial Iris implantation with iris fixated intra ocular lens. Methods: Development of photophobia, glare and psychological strain during face-to-face communication in five eyes with a widespread traumatic iris defect terminate to make a decision for performing implantation an Artificial Iris (Human optics, Erlangen, Germany) under the remnant iris Results: Without any intra operative or postoperative complications, the patients’ visual acuity increased by oneline, the endothelial cell loss was comparable with the cell loss associated with standard cataract surgery, and the anterior-chamber depth and anterior-chamber anatomy did not change. At the final follow-up examination, the mean intraocular pressure (IOP) did not differ from baseline, and we achieved high level of patient satisfaction and subjective vision improvement. We discuss the particular importance of considering the patient s expectations, the appropriate measurements, ways to perfect color evaluation and the types of Artificial Iris products. Conclusion: The implantation of the Artificial Iris is a feasible approach and a useful option for patients with thin irises and iris hypoplasia who are at risk of subluxation or the dislocation of the PCIOL as well as those with sclerally fixed PCIOLs.