[Artificial iris after severe trauma of the orbit]

Surgical revision of the eye of a 52-year-old female patient with iris replacement was carried out 1 year after severe injury of the globe.

The further surgical measures were necessary to improve not only the functional but also the cosmetic results.

Due to the complex initial situation a combination of vitrectomy and peeling of the epiretinal membrane, perforating keratoplasty and finally iris and lens replacement was carried out. The complete surgical procedure is presented in a video accompanying this article.

The best corrected vision increased to 0.25, 6 months after the intervention and the patient was satisfied with the functional and cosmetic results. The intraocular pressure remained in the normal range after 1 year of follow-up with no further therapy.