A Case of Anterior Fibrovascular Membrane After Intraocular Lens Implantation in Congenital Aniridia.

Lee, Kyu Sung; Moon, Jong Wook; Park, Jong Woon; Choi, Jae Ho

doi:2008.49.5.835

J Korean Ophthalmol Soc > Volume 49(5); 2008 > Article

Case Report

Journal of the Korean Ophthalmological Society 2008;49(5):835-839.
DOI: https://doi.org/10.3341/jkos.2008.49.5.835 Published online May 15, 2008.

A Case of Anterior Fibrovascular Membrane After Intraocular Lens Implantation in Congenital Aniridia.

Kyu Sung Lee, Jong Wook Moon, Jong Woon Park, Jae Ho Choi

¹National Health Insurance Corporation Ilsan Hospital1, Ilsan, Korea. malgnnun@freechal.com
²Department of Ophthalmology, College of Medicine, Yonsei University, Seoul, Korea.
³Nune Eye Hospital, Seoul, Korea.

선천성 무홍채증 환자에서 인공수정체 삽입술 후 발생한 전방 내 섬유혈관막 1예

이규성¹ㆍ문종욱²ㆍ박종운¹ㆍ최재호³

National Health Insurance Corporation Ilsan Hospital1, Ilsan, Korea / Department of Ophthalmology, College of Medicine, Yonsei University2, Seoul, Korea / Nune Eye Hospital3, Seoul, Korea

Abstract

PURPOSE
To report a case of an anterior fibrovascular membrane following cataract extraction and intraocular lens implantation in a patient with congenital aniridia. CASE SUMMARY: A 13-year-old girl presented with congenital aniridia and cataracts in both eyes. She underwent cataract extraction by phacoemulcification with intraocular lens implantation. Six months after cataract surgery, a progressive anterior chamber fibrovascular membrane was noted in both intraocular lens and rudimentary iris. Surgical excision of the fibrovascular membrane was performed, but there was recurrence after five weeks in both eyes. Subsequent surgical intervention on both eyes involved intraocular lens explantation combined with membranectomy to prevent recurrence and phthisis. Surgical findings indicated that the fibrovascular membrane involved the retrolenticular space, and histopathological evidence indicated that the extensive fibrotic tissue originated from the root of the rudimentary iris. CONCLUSIONS: Patients with congenital aniridia should be monitored carefully for the development of intraocular fibrosis after intraocular lens implantation. If a fibrovascular membrane is noted, early surgical intervention is recommended, and the explantation of the intraocular lens should be considered during surgical intervention to prevent recurrence and complications.

Key Words: Anterior fibrovascular membrane;Congenital aniridia;Intraocular lens