Anterior chamber reconstruction is complex surgery to rebuild structures at the front of the eye after trauma, previous surgery, or disease. It aims to restore a clear visual axis, stable lens position, and normal fluid circulation.
Components of Reconstruction
Procedures may include repairing or replacing the iris, repositioning or exchanging intraocular lenses, closing corneal wounds, and reforming the chamber with viscoelastic or gas. Each case is highly individualised.
- Often performed by anterior segment specialists with access to microsurgical tools
- May require combined corneal, lens, and iris work in a single operation
- Pre‑operative imaging helps map remaining structures
- Goals balance visual potential with safety and long‑term stability
Recovery and Risks
Healing can be prolonged and may need multiple stages. Risks include pressure changes, corneal decompensation, and recurrent inflammation.
- Intensive postoperative monitoring and medication are standard
- Glaucoma or corneal grafting may still be required later
- Visual outcome depends on the extent of original injury or disease
- Patients should be counselled about realistic expectations and follow‑up needs
