Klin Monbl Augenheilkd 2012; 229(4): 462-463
DOI: 10.1055/s-0031-1299255
Der interessante Fall
© Georg Thieme Verlag KG Stuttgart · New York

Iris Varix as a Cause of Late-Onset Inflammation after Implantation of a Phakic Iris Claw Lens

Irisvarize als Ursache einer verzögerten Entzündung nach Implantation einer Iris-Clip-Linse ins phake Auge
P. Tschuor
1   Jules-Gonin Eye Hospital, University of Lausanne, Switzerland
,
F. Hafezi
2   Division of Ophthalmology, Department of Clinical Neurosciences, Geneva University Hospitals, Geneva, Switzerland
,
F. Majo
1   Jules-Gonin Eye Hospital, University of Lausanne, Switzerland
› Author Affiliations
Further Information

Publication History

Publication Date:
11 April 2012 (online)

Introduction

Implantation of a phakic iris claw intraocular lens is a common, effective and safe procedure to correct high myopia, hyperopia and astigmatism [2]. Due to the nature of its fixation on the iris using claws, chronic irritation and inflammation have remained a major concern with the Artisan® lens since its market introduction in 1998. Following iris claw implantation, monitoring of postoperative inflammation is mandatory [4] [7]. Usually, signs of inflammation can be detected in the anterior chamber during the early postoperative period. We present here the first case of late-onset inflammation after implantation of an iris claw lens triggered by an iris varix.

The iris varix is a rare benign iris vascular abnormality, with a low prevalence as a solitary primary lesion in the general population and little is known about its clinical characteristics [1] [5] [6]. This report shows that an iris varix could be a cause of a late onset and chronic inflammation after phakic Artisan® lens implantation.

 
  • References

  • 1 Alió JL, Mulet ME, Shalaby AM. Artisan® phakic iris claw intraocular lens for high primary and secondary hyperopia. J Refract Surg 2002; 18: 697-707
  • 2 Ang LP, Sim DH, Chiang GS et al. Iris varix. Eye 1997; 11: 733-735
  • 3 Broaddus E, Lystad LD, Schonfield L et al. Iris varix: report of a case and review of iris vascular anomalies. Surv Ophthalmol 2009; 54: 118-127
  • 4 Fournié P, Malecaze F. Iris fixated intraocular lenses: Reinforced monitoring. J Fr Ophtalmol 2009; 32: 687-694
  • 5 Hardten D, Lindstrom RL, Davis EA. Phakic intraocular lenses. Thorofare, NJ: SLACK Inc.; 2004
  • 6 Landez M, Van Rij G, Luyten G. Iris-claw phakic intraocular lens for high myopia. J Refract Surg 2001; 17: 634-640
  • 7 Shields JA, Shields CL, Pulido J et al. Iris varix simulating an iris melanoma. Arch Ophthalmol 2000; 118: 707-710