Mystery of an aphakic eye and visual rehabilitation after six decades: A case report

Abstract

Patients with a remote and unclear ocular surgical history often pose diagnostic challenges, especially when anatomical landmarks are distorted or absent. The diagnosis of the present case remained a mystery until careful clinical evaluation was combined with biometry and historical deduction. It helped us to reach the consequence of pathogenesis and the surgical procedure performed in the past i.e. iridencleisis along with surgical aphakia. Iridencleisis, once widely used for angle-closure glaucoma or acute angle closure attack, has now been out of favor and is rarely encountered by today’s ophthalmologists. In spite of long term aphakia, the best corrected visual acuity was improving to 6/18, so secondary Intraocular lens implantation was planned. A retro-pupillary iris claw intraocular lens (RICL) was implanted, which led to successful visual rehabilitation over more than a half century later.