The Pan-American Journal of Ophthalmology (Jan 2017)
Anterior Iris Enclavation of a Black Intraocular Lens for Leukocoria
Abstract
A 32-year-old black woman came to our attention due to dissatisfaction with the cosmetic appearance of her blind left eye, with exotropia and leukocoria, interfering with her professional, social and personal life. At the slit lamp, we found a clear cornea, a quiet anterior chamber, a normal iris and a white pupillary refl ex due to white cataract and fi brotic retinal detachment. An Artisan® pupil occluder was enclavated retropupillary, keeping the cataract intact. Strabismus was surgically corrected. Despite the uneventful immediate post-operative course, two weeks after surgery, patient presented with posterior dislocation of the pupil occluder by release of one of the haptics, inducing cataract subluxation. Intracapsular cataract extraction was performed and the pupil occluder was repositioned anterior to the iris. At one year follow-up, the eye remains quiet. Exotropia was corrected and the pupil occluder is well centered with an excellent cosmetic appearance. Patient is extremely satisfi ed with the outcome.
