Dr.Charu Prasad

Dr.Hare Ram Prasad

Abstract

AIM and PPM are congenital iris anomalies in which fine or thick iris strands arise form the collarette and obscure the pupil. AIM, which is also called iris duplication, closely resembles the normal iris tissue in color and thickness and presents a virtual second pseudopupil aperture in the centre while PPM even in its extreme forms presents as a translucent or opaque membranous structure that extends across the pupil and has no pseudopupil.
laser treatment or surgery is used to clear the visual axis and optimize visual development. Surgical intervention is reserved for large, dense AIMs and PPMs.
Our patient, a 25 year old male, has come with bilateral dense AIM, bilateral compound hyperopic astigmatism, BCVA OD = 6/24, BCVA OS = 6/12, IOP re = 18 mmHg le=16 mmhg.
To improve the visual acuity of the patient we decided to do a bilateral membranectomy, restoring in this way transparency of the visual axis.
After surgery, the visual acuity improved to BCVA OD= 6/9, BCVA OS=6/9.