The Ophthalmology Unit,  Universiti Malaysia Sarawak (UNIMAS), Kuching, Sarawak.

The Ophthalmology Department, Sarawak General Hospital, Kuching, Sarawak, East Malaysia.

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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

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Corneal scar contributed to glare.

 

Coloured contact lens formed a regular surface and reduced glare in this patient.

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