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Congenital aniridia is a rare condition affecting a wide range of ocular structures, from the ocular surface to the retina. We present the case of a 59-year-old woman with PAX6- and WT1-negative congenital aniridia who developed aniridia-associated keratopathy and progressive endothelial dysfunction with corneal decompensation after cataract surgery. The patient underwent successful ultrathin Descemet stripping endothelial keratoplasty. Despite the challenges faced with an unstable iridolenticular diaphragm, we were pleasantly surprised to see improvement not only of corneal edema and endothelial function but also of the whole cornea, including anterior corneal anatomy and appearance. In conclusion, endothelial transplantation in a patient with aniridia resulted in improvement of all the corneal structures from the endothelium to the stroma, epithelium, and possibly even the ocular surface.

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Copyright of Medical Journal of Ankara Training & Research Hospital is the property of Medical Journal of Ankara Training & Research Hospital and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Blunt ocular traumas cause serious ocular problems in the anterior and posterior segments of the eye and even may result in globe perforation. In the literature, some cases have been reported with aniridia by traumatic iris expulsion and preserved intraocular lens after blunt trauma in pseudophakic eyes that had undergone cataract surgery with phacoemulsification. In this case, phacoemulsification was performed four months before a blunt trauma to the same eye, intraocular lens remained centralized although traumatic aniridia and partial zonulolysis occurred. This is the first case of traumatic aniridia in a pseudophakic eye in our country, and we aimed to present the possibility of relative protective effects of small cataract incisions after blunt trauma. (Turk J Ophthalmol 2014; 44: 80-2)

We present a 55-year-old woman with a diagnosis of traumatic partial aniridia and aphakia. Visual acuity was "counting fingers from 50 cm" and intraocular pressure was 18 mmHg on the traumatized right eye. Anterior segment examination revealed a clear cornea, partial aniridia and total iridodialysis at the superior quadrant. The optical axis was closed with the residual iris. The crystalline lens was absent. Ultrasonography of the posterior segment was normal with no retinal detachment or crystalline lens image. The patient underwent anterior vitrectomy, iridoplasty, and iris reconstruction lens implantation by scleral fixation (Ophtec 311 Aniridia Lens II, brown). On the postoperative first day, the best corrected visual acuity was 0.4 and the patient was pleased with the color and tone match with the left eye. [ABSTRACT FROM AUTHOR]

Total or partial defect of iris is called anirida. It may be congenital or may occur secondary to trauma. Bilateral congenital aniridia is a rare clinical condition. Its inheritance is usually autosomal dominant but sporadic cases are also been reported. In this case report we aimed to report a 9 years old child who has bilateral congenital aniridia, cataract, high intraocular pressure, strabismus and sensorineural hearing loss. [ABSTRACT FROM AUTHOR]

Blunt ocular traumas cause serious ocular problems in the anterior and posterior segments of the eye and even may result in globe perforation. In the literature, some cases have been reported with aniridia by traumatic iris expulsion and preserved intraocular lens after blunt trauma in pseudophakic eyes that had undergone cataract surgery with phacoemulsification. In this case, phacoemulsification was performed four months before a blunt trauma to the same eye, intraocular lens remained centralized although traumatic aniridia and partial zonulolysis occurred. This is the first case of traumatic aniridia in a pseudophakic eye in our country, and we aimed to present the possibility of relative protective effects of small cataract incisions after blunt trauma. [ABSTRACT FROM AUTHOR]