Clinical result of the treatment of a child with congenital pathology of the iris and lens

Togymova P.T. Mehmet E.
2 September 2022 Ophthalmology Publishing house

Point of View. East-West
2022 #2022 Issue 1 63 - 67 pp.

Relevance. Congenital aniridia is a rare ocular malformation. Its occurrence in the world ranges from 1: 40,000 to 1: 96,000. Purpose. To study clinical and functional characteristics of both eyes and the effectiveness of treatment in a child with congenital aniridia, congenital cataract and lens subluxation. Material and methods. The article presents the results of the clinical case of the child T., born in 2006, diagnosed with: OU – Subluxation of the lens congenital III degree. Cataract congenital intrauterine polymorphic. Aniridia is congenital hereditary. Glaucoma congenital intrauterine initial subcompensated (m). Myopia congenital high with astigmatism. Nystagmus horizontal fine-caliber constant. Surgery was performed on both eyes – FAC + IOL + ICR with implantation of the complex «Artificial iris» + Anterior vitrectomy. The article presents an analysis of a clinical case with familial congenital aniridia in a child in order to increase the awareness of treating ophthalmologists about the complexity and systemic manifestations of this congenital malformation and the need for a systematic approach to its treatment. Results. Surgery and postoperative period without complications. Visual acuity after surgery was – OD – 0.08 w/c cyl (+) 1.0 D = 0.2; OS – 0.1 N/c. The position of the Artificial Iris complex is correct. IOL in the back chamber, in the capsule bag. A month after the operation, the visual functions are preserved, the IOP is compensated, the horizontal nystagmus has decreased Conclusion: • The use of the «Artificial iris» complex with a one-stage IOL implantation to correct the elimination of congenital aniridia makes it possible to achieve high cosmetic and functional results. • The child and the child’s parents are satisfied with the cosmetic effect after the operation. • A child after undergoing correction of aniridia with the «Artificial Iris» unit requires constant dynamic observation by an ophthalmologist. • It is necessary to take into account the high risk of postoperative ophthalmic hypertension in the child and the possibility of repeated interventions.

Artificial iris complex , cataract phacoaspiration with IOL implantation , congenital aniridia , congenital cataract , intracapsular ring , lens subluxation

Text of the article Перейти на текст статьи

Opthalmological center of Konovalov, Almaty, Kazakhstan
Helmir Hospital, Turkey

Opthalmological center of Konovalov
Helmir Hospital

10 лет помогаем публиковать статьи Международный издатель

Книга Публикация научной статьи Волощук 2026 Book Publication of a scientific article 2026