Morcher Iris Reconstruction Lens and Rigid Contact Lens for Traumatic Aniridia

PURPOSE: Traumatic aniridia is often associated with severe anterior segment disruption, resulting in aphakia and corneal irregularity. Previous treatments included corneal tattooing and prosthetic contact lens correction. In the last 15 years, artificial iris implants have been demonstrated as safe and efficacious for reducing glare. Corneal scarring and irregularity from trauma still need to be addressed after artificial iris implantation. METHOD: This case report describes a patient who was rehabilitated with a custom rigid gas permeable contact lens after Morcher iris reconstruction lens implantation. RESULTS: The patient experienced a significant decrease in photophobia glare sensitivity and achieved mechanical, physiologic and optical success, but only limited tolerance with the contact lens. CONCLUSIONS: Iris reconstruction lens implantation followed by rigid contact lens fitting is an option for correcting the aperture and optical defects of traumatic aniridia.