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Different approaches to surgical pupiloplasty

Poster Details

First Author: S.Pina PORTUGAL

Co Author(s):    C. Pedrosa   A. Azevedo   M. Ramalho   P. P   B. Feijo   I. Prieto

Abstract Details


To describe three different minimal invasive surgical approaches for correction of traumatic and congenital pupil abnormalities.


Ophthalmology Department, Prof Dr. Fernando Fonseca Hospital EPE. Amadora, Lisboa, Portugal.


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.


All patients showed an acceptable pupil shape and position after surgical procedures that provided a good functional and cosmetic results.


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

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