Open AccessIntraocular lens scaffold pupilloplasty: A novel technique for pupilloplasty in phakic eyes
Author(s) -
Mahipal Sachdev,
Ritesh Narula,
Nirmala Sudhamala,
Gitansha Shreyas Sachdev
Publication year - 2021
Publication title -
indian journal of ophthalmology/indian journal of ophthalmology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.542
H-Index - 51
eISSN - 1998-3689
pISSN - 0301-4738
DOI - 10.4103/ijo.ijo_2124_20
Subject(s) - medicine , lens (geology) , intraocular lens , phakic intraocular lens , mydriasis , ophthalmology , iris (biosensor) , blunt trauma , optometry , surgery , visual acuity , optics , refractive error , physics , computer security , computer science , biometrics
Numerous techniques of pupilloplasty have been described to restore iris anatomy. However limitations arise in phakic eyes due to the propensity for crystalline lens damage. We describe a novel technique for pupilloplasty in phakic eyes, wherein a plate haptic intraocular lens or phakic intraocular lens provides a scaffold and protects the anterior crystalline lens from subsequent surgical manoeuvres. The technique is demonstrated in a 24-year-old male who presented four months following blunt trauma to his left eye, with complaints of glare and difficulty in near activities secondary to traumatic mydriasis. The use of an intraocular lens scaffold allowed successful pupilloplasty without iatrogenic tissue trauma or subsequent crystalline lens opacification up to one-year follow-up. Our technique affords a safe pupillary repair without damage to the clear crystalline lens or the need for a concomitant lens extraction.