Abstract

A 20-year-old man with a light-blue iris presented himself with fixed unilateral mydriasis, clear lens, a small inferior zonular dialysis, normal intraocular pressure (IOP), an uncorrected vision of 0.0 LogMAR, and retained accommodation. An assault 6 months before was reported. He asked for mydriasis reversal to decrease photophobia and to improve cosmesis. He wanted to avoid lens removal. We planned an encircling iris suture, and for protection a temporary implantation of a myopic phakic posterior chamber intraocular lens (Visian ICL), that results thicker in the foreseen working zone.

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