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Klin Monbl Augenheilkd 2012; 229(4): 462-463
DOI: 10.1055/s-0031-1299255
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© 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
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Publication History

Publication Date:
11 April 2012 (online)

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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.