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  • Dr Sudhakar Potti MS. Submitted by Dr Aparna Nayak MS, Sankara Eye Hospital, Guntur, Andhra Pradesh, India.
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    Cataract/Anterior Segment

    Management of post traumatic aniridia with Black diaphragm intraocular lens implantation (BDI). A 29-year-old female presents to Sankara Eye hospital, Guntur, Andhra Pradesh, India with pain and defective vision in the right eye following trauma with iron rod. Vision in the right eye was CFCF and left eye 6/6. Examination showed full thickness lid laceration in both upper and lower lids with corneo-sclera tear (limbal) , hyphema, DM folds on cornea and was aphakic. Other details were not clear. Left eye was within normal limits. Fundus view was hazy due to vitreous hemorrhage (VH). B-scan confirmed VH and showed intact retino-choroidal complex and optic nerve head. Primary limbal tear repair with lid laceration repair was performed. Patient was prescribed topical steroids with antibiotics in tapering doses. 1 week post operative vision was CFCF with clear cornea, resolving hyphema, aphakia and revealed traumatic aniridia. One month post operative visit showed clear cornea, quiet anterior chamber and aniridia . Best corrected visual acuity with aphakic correction (+10.00 D/+3.00 x 30*) was 6/6. Fundus examination showed resolving VH inferiorly, no cupping and healthy macula. Suture removal was performed after 3 months and planned for aniridia Intraocular lens after a month. 1 week post operative period showed clear cornea, quiet AC, stable black diaphragm IOL (BDI) in situ. Best corrected visual acuity was 6/9. Applanation tonometry showed 30mmHg and patient was started on topical brimonidine+timolol combination. Fundus examination did not reveal cupping and was within normal limit