Combined scleral suture-fixated intraocular lens implantation and Iris cerclage pupilloplasty for aphakic eyes with traumatic mydriasis

Abstract

Purpose The aim of this study was to present the observational outcomes of scleral suture-fixated intraocular lens (IOL) implantation combined with iris cerclage pupilloplasty to treat aphakic eyes with traumatic mydriasis. Materials and methods A retrospective review was performed consisting of 9 aphakic eyes in 9 patients with traumatic mydriasis who underwent scleral suture-fixated IOL implantation combined with iris cerclage pupilloplasty. Results The mean age was 18.9 ± 18.1 years and the mean follow-up time was 6.3 ± 6.1 months. Best-corrected visual acuity improved from 0.94 ± 0.75 logarithm of the minimum angle of resolution (logMAR) to 0.75 ± 0.67 logMAR after the surgery (p = 0.042). Intraocular pressure decreased from 17.81 ± 6.37 mmHg to 13.70 ± 3.64 mmHg (p = 0.046). The pupil diameter reduced from 8.851 ± 0.686 mm to 5.263 ± 1.361 mm (p = 0.0001). In addition, the symptom of photophobia had significantly alleviated. The difference of endothelial cell density was not statistically significant postoperatively (p = 0.698). Conclusions Scleral suture-fixated IOL implantation combined with iris cerclage is an effective method to achieve functional and cosmetic outcomes for aphakic eyes with traumatic mydriasis.