First Author: S.Pina PORTUGAL
Co Author(s): C. Pedrosa A. Azevedo M. Ramalho P. P B. Feijo I. Prieto
Purpose:
To describe three different minimal invasive surgical approaches for correction of traumatic and congenital pupil abnormalities.
Setting:
Ophthalmology Department, Prof Dr. Fernando Fonseca Hospital EPE. Amadora, Lisboa, Portugal.
Methods:
We describe three clinical cases with pupil abnormalities from different ethiology, all submitted to pupiloplasty in order to improve visual and aesthetic outcome. First patient presented a traumatic aphakia and ectopic pupil in his right eye. Pupiloplasty was performed with several iris sutures in order to create a central pupil, giving support to anterior chamber Iris-Claw IOL. Second patient presented with a postraumatic mydriasis of the left eye. In this case a McCannel-like imbricating suture with Siepser knot was used and passed at 3 and 9 o“clock to decrease the pupil size. In these 2 cases we used a 10-0 polypropilene suture. Last patient, a 3-months-old child, presented absence of pupil due to total persistence of pupilary membrane in her left eye and was submitted to the membrane removal creating a normal and centered pupil. Patient workup included anterior segment photographs before and after surgery. We will present the surgical videos.
Results:
All patients showed an acceptable pupil shape and position after surgical procedures that provided a good functional and cosmetic results.
Conclusions:
Traumatic and congenital pupil abnormalities are relatively common problems that can be addressed by a simple pupiloplasty, without the need of iris prostheses. Pupiloplasty may improve visual outcome, reducing glare disability and photofobia. This minimal invasive surgery showed to be a good option to correct pupil defects with good functional and aesthetic outcomes. FINANCIAL DISCLOSURE?: No
Please wait while information is loading.
