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Traumatic aniridia 11 years post uneventful cataract surgery.

Saeed Azizi1, Charanjit Sethi2

  • 1External Diseases, Moorfields Eye Hospital City Road Campus, London, UK saeedazizi.sa@gmail.com.

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Traumatic aniridia can occur years after cataract surgery due to reopened incisions from blunt trauma. An intact Soemmering ring may surprisingly reduce glare in such cases.

Keywords:
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Area of Science:

  • Ophthalmology
  • Trauma Surgery

Background:

  • Traumatic aniridia is a rare complication following ocular trauma.
  • Cataract surgery is a common procedure, and long-term complications are infrequent.

Purpose of the Study:

  • To report a unique case of traumatic aniridia occurring 11 years after uneventful cataract surgery.
  • To highlight the potential for late reopening of cataract surgery incisions after trauma.
  • To discuss the unusual role of an intact Soemmering ring in mitigating glare in traumatic aniridia.

Main Methods:

  • Case report presentation.
  • Review of patient history including cataract surgery and subsequent trauma.
  • Clinical examination and assessment of visual symptoms.

Main Results:

  • A woman in her 70s developed traumatic aniridia 11 years post-cataract surgery after blunt forehead trauma.
  • The cataract surgery incision was found to have reopened, allowing iris prolapse.
  • An intact Soemmering ring was observed and appeared to reduce glare.

Conclusions:

  • Cataract surgery incisions can reopen years later following trauma, leading to traumatic aniridia.
  • This case represents the longest reported interval between cataract surgery and traumatic aniridia in the UK.
  • The presence of an intact Soemmering ring may offer a functional benefit by reducing glare in traumatic aniridia.