The Ophthalmology Unit, Universiti Malaysia Sarawak (UNIMAS), Kuching, Sarawak.
The Ophthalmology Department, SarawakGeneralHospital,
Kuching, Sarawak, East Malaysia.
a
a
Traumatic aniridia
and aphakia
Photo by Professor Chua
chung Nen
This 40 year-old man
sustained bilateral ocular injuries in a road traffic accident 10 years ago.
The left eye was badly damaged and was enucleated without orbital implant.
The right eye underwent corneal repair, iris excision and lens aspiration.
He later developed right retinal detachment which was repaired successfully.
His vision was 6/18 with aphakic glasses.
His main problem being
photophobia and found sunglasses impaired his vision. Scleral fixated
Morcher intraocular lens was proposed but he declined for fear of losing his
remaining eye should the operation fail. A commercially available coloured
contact lens without optical power was tried and he found this greatly
reduced his glare and improved his vision.
Right aphakia and aniridia. Left
prosthetic eye with post-enucleation socket syndrome
(enophthalmos and deep superior sulcus).
Absence of lens and iris on
retroillumination
.
Corneal scar contributed to glare.
Coloured contact lens formed a
regular surface and reduced glare in this patient.
