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SURGICAL TECHNIQUE
Year : 2021  |  Volume : 69  |  Issue : 3  |  Page : 755-757

Intraocular lens scaffold pupilloplasty: A novel technique for pupilloplasty in phakic eyes


1 Centre for Sight, Safdarjung Enclave, New Delhi, India
2 The Eye Foundation, RS Puram, Coimbatore, Tamil Nadu, India

Correspondence Address:
Dr. Mahipal S Sachdev
Centre for Sight, B.5/24, Safdarjung Enclave, New Delhi - 110 057
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_2124_20

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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.


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