Abstract

Here, we report a case of 37 year old male who came with a history of traumatic aphakia in the right eye 10 years back along with uncontrolled intraocular pressure (IOP). His Uncorrected vision was hand movements in the right eye at presentation. He was managed with new CM T-FLEX foldable aphakic scleral fixated intraocular lens with superior trabeculectomy. Fornix based conjunctival partial thickness triangular scleral flap of 4mm were raised. Mitomycin c was placed for 1 minute. Surgical iridectomy was done using Kellys punch. Flap closed with releasable sutures. Two partial-thickness limbal-based scleral flaps of 2.5mm*2.5mm were created 180 degree apart; sclerotomies were made using 23G needle 1.5mm away from limbus. The new CM T-flex intraocular lens was injected through the 2.8mm clear corneal incision and the specially designed T shaped lens haptics were externalised with the 23G PraNiv T flex forceps, brought out and left under the scleral flap and using the hand shake technique the second arm was grasped using the NiShi Grasping forceps and exchanged to the PraNiv T flex forceps and brought out through the other sclerostomy. The intraocular lens was stable. Anterior chamber wash was done and air bubble was injected. Fibrin glue was used to close the scleral flaps and conjunctiva. Postoperative period was uneventful. At the end of 1 month, patient's best corrected visual acuity was 6/24 in the right eye with a good filtering bleb superiorly and a stable, well centered CM T flex Aphakia intraocular lens.

Keywords: Secondary Intro Ocular Lens; CM-T Flex Foldable Lens; Secondary Glaucoma; Traumatic Aphakia; Vitrectomy; Trabeculectomy

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Citation

Citation: Archana N. “A New CM T Flex Aphakia Foldable IOL with Trabeculectomy for a Case of Traumatic Aphakia with Secondary Glaucoma”.Acta Scientific Ophthalmology 3.10 (2020): 33-36.

Copyright

Copyright: © 2020 Archana N. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.