SCLERAL FIXATION INTRAOCULAR LENS AS A BARRIER FOR SILICONE OIL IN TRAUMATIC APHAKIA, ANIRIDIA, AND RECURRENT RETINAL DETACHMENT:CASE REPORT

In Brief Purpose: We report a patient with recurrent retinal detachment complicated with traumatic aniridia and aphakia, which was successfully managed by scleral fixation polymethyl methacrylate posterior chamber intraocular lens (PMMA PCIOL) and vitrectomy with silicon oil tamponade. Method: Interventional case report. Results: A 35-year-old man with traumatic aniridia, aphakia, and recurrent retinal detachment who received the combined surgery of scleral fixation PMMA PCIOL and vitrectomy with silicon oil tamponade. The patient had favorable visual outcome. The retina was reattached and the cornea remained clear without silicon oil in the anterior chamber after 1 year. Conclusion: The scleral fixation PMMA PCIOL can retain the silicone oil in the vitreous cavity for reattaching the retina and can also protect the corneal endothelium from contact with the silicone oil in the case of aniridia, aphakia, and retinal detachment. To repair retinal detachment associated with traumatic aniridia and aphakia is challenging because the altered compartmentalization makes the use of tamponade less effective. A diaphragm to separate the anterior chamber and vitreous cavity is essential for tamponade confinement and corneal protection. Implanting a posterior chamber intraocular lens is an alternate choice.