Abstract

Purpose: This is a report of an aphakia case without posterior capsular support and iris support. We did a Yamane scleral fixation combined with single pass four throw pupilloplasty. Case report: A-56 year-old male with a history of complicated phacoemulsification and glaucoma came with a diagnosed of aphakia and angle closure glaucoma. There were no posterior capsular support and iris support so that in this case iris claw secondary IOL cannot be done. We performed Yamane scleral fixation secondary IOL in this case followed by single pass four throw technique pupilloplasty. Post operative uncorrected visual acuity was 0.5 without any complain of quality of vision including glare. Intraocular pressure was within normal limit with topical medication. Conclusion: Yamane scleralfixation secondary IOL implantation combinedwith single pass four throw pupillopasty can be considered on aphakia patient without both posterior capsular support and iris support.

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