Isolated traumatic aniridia after trabeculectomy in a pseudophakic eye

• Main Authors: Subashini Kaliaperumal, Robin Troutbeck, Wallop Iemsomboon, Adrian Farinelli
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2014-01-01
• Series: Indian Journal of Ophthalmology
• Subjects: Clinical profile; Indian population; optic neuritis treatment trial; optic neuritis; Decompression of the orbit; diplopia; orbit; thyroid exophthalmos; thyroid ophthalmopathy; Limbus incision; subconjunctival incision; sutureless manual small-incision cataract surgery; wound construction; Central retinal vein occlusion; intravitrealbevacizumab; intravitrealtriamcinolone acetonide; macular edema; Contrast sensitivity; fixation; microperimeter; normative data; retinal sensitivity; Optical coherence tomography; optic disc pit; retinal detachment; retinoschisis; Homocysteine; retinal vein occlusion; visual impairment; Diabetic macular edema; monocyte chemoattractant protein-1; soluble intracellular adhesion molecule-1; vascular endothelial growth factor; Compressive optic neuropathy; humphrey visual field; ischemic optic neuropathy; multifocal visual evoked potential; Age; body mass index; gender; high density lipoprotein; intraocular pressure; lipid profiles; total cholesterol; triglyceride; Capsular tension ring; cataract; intraocular lens; myopia; phacoemulsification; posterior capsular opacification; Ethnicity; Indian; macular thickness; normative; retinal nerve fiber layer; Ocular torticollis; superior oblique palsy; surgery; Barriers to follow-up; pediatric cataract; visual outcome; Cataract; intracameral mydriatic solution; no preoperative mydriatic; Disc edema; neem oil; putamen; toxin-induced encephalopathy; Toxic Optic Neuropathy Secondary to Consumption of Neem Oil; Absent thumb; craniofacial defects; limbal dermoid; Nager syndrome; Keratitis; Rhodotorula sp; Polymerase chain reaction; Atypical; cholesterol granuloma; Capsular block syndrome; optic neuropathy; Haptic fracture; posterior chamber intraocular lens fracture; spontaneous fracture; Bacterial conjunctivitis; conjunctivitis; gram negative diplococcus; Neisseria sicca; netilmicin; Aspergillosis; endophthalmitis; vitrectomy; voriconazole; Eyelid retraction; orbital infection; orbital neonatal abscess; neonatal abscess; Dirofilaria; intraocular dirofilaria; worm; Axenfeld-Rieger Syndrome; anterior segment dysgenesis; blepharophimosis ptosis epicanthus inversus syndrome; glaucoma; Actinic granuloma; conjunctiva; granuloma annulare; necrobiosis lipoidica; Internal limiting membrane; macular hole; optical coherence tomography; re-surgery; Ichthyosis follicularis; alopecia and photophobia syndrome; meibomian gland dysfunction; ocular invovement; Collagen cross-linking; pellucid marginal degeneration; Pentacam HR; Aniridia; blunt trauma; detached iris; iridodialysis
• Online Access: http://www.ijo.in/article.asp?issn=0301-4738;year=2014;volume=62;issue=3;spage=371;epage=372;aulast=Kaliaperumal

This is a single case report of an elderly patient who had blunt trauma in an eye that had phacoemulsification and two trabeculectomies. She had good vision with a well-functioning bleb before the trauma. She presented during her routine follow-up visit for glaucoma with isolated aniridia and an intact globe. The capsular bag, zonules, and the intraocular lens were intact. The cupping was 0.8, and the rest of the fundus and macula were normal. Pigments were seen over the sclera extending posteriorly upto the fornix. Gonioscopy revealed only faint pigments at the fistula. Following the trauma, the intraocular pressure had increased to 26 mm Hg. The mechanism and the management of the glaucoma are discussed.