Abstract Traumatic aniridia is an absence of the iris tissue secondary to an ocular injury. Chief complaints may include photophobia, decreased visual acuity, impaired cosmesis, and traumatic cataracts. Opaque hydrogel lenses improve cosmesis while providing confort from photophobia. Visual acuity may also be aided by glare reduction and increased depth of focus. This case report describes a 37-year-old African-American woman with traumatic aniridia who was fitted with both a tinted annulus lens and Wesley-Jessen opaques. Although this case report focuses on cosmetic/prosthetic contact lens options for aniridia, this treatment applies to a variety of cornea, iris, and lens abnormalities.

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