Customized iris clip anterior chamber intraocular lenses designed for iris reconstruction

To present three cases of partial aniridia reconstructed by a customized polymethylmethacrylate (PMMA) iris print and iris clipped anterior chamber intraocular lens (IOL) (Ophtec BV). In two cases, the partial aniridia was originally caused by an eye trauma leaving one eye phakic and the second eye aphakic but without capsular support, whereas in the third case, surgically induced sectorial iridectomy was justified by a slowly growing cystic iris melanoma. All three cases showed very good results with useful visual recovery after customized phakic or aphakic iris print, toric or spheric PMMA, anterior chamber iris fixated IOLs. Customized PMMA iris print and iris clipped anterior chamber IOL is a possible solution to repair aniridia with or without correction of aphakia and corneal astigmatism