Visual Outcomes of Pupilloplasty in Ocular Trauma and Iatrogenic Damage
Purpose: To report the visual outcomes of different techniques for iris pupilloplasty in eyes after traumatic and iatrogenic damage. Methods: 70 consecutive eyes with posttraumatic (80%) and postoperative (20%) iris damage were included. According to the preoperative diagnosis, the eyes were divided...
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| Format: | Article |
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MDPI AG
2022-06-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/11/11/3177 |
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| author | Katarzyna Nowomiejska Dariusz Haszcz Katarzyna Adamczyk Agnieszka Brzozowska Vincenza Bonfiglio Mario Damiano Toro Robert Rejdak |
| author_facet | Katarzyna Nowomiejska Dariusz Haszcz Katarzyna Adamczyk Agnieszka Brzozowska Vincenza Bonfiglio Mario Damiano Toro Robert Rejdak |
| author_sort | Katarzyna Nowomiejska |
| collection | DOAJ |
| description | Purpose: To report the visual outcomes of different techniques for iris pupilloplasty in eyes after traumatic and iatrogenic damage. Methods: 70 consecutive eyes with posttraumatic (80%) and postoperative (20%) iris damage were included. According to the preoperative diagnosis, the eyes were divided into three groups: mydriasis (50%), partial iris defects (24%), and iridodialysis (26%). Multiple techniques were performed: the Siepser slip-knot technique, the “lasso” technique, and suturing to the sclera. These techniques were combined in some cases. Results: The best improvement of visual acuity was found for the Siepser slip-knot technique with a median of 0.7 (SD ± 0.83) before surgery and 0.52 logMAR (SD ± 0.65) after surgery with regard to the surgical technique, and for mydriasis with a median of 0.7 (SD ± 0.75) before surgery and 0.52 logMAR (SD ± 0.49) after surgery with regard to preoperative diagnosis. Pupilloplasty was combined with additional surgery (corneal suturing, secondary intraocular lens implantation, anterior or pars plana vitrectomy) in 80% of cases. Apart from corneal suturing, all additional procedures ensured improvement in visual acuity. Conclusions: The slip-knot technique was the only suturing technique that resulted in a significant improvement in visual acuity. Other surgical procedures are usually needed in the majority of cases that undergo pupilloplasty, and they also give visual gain. |
| first_indexed | 2024-03-10T01:10:38Z |
| format | Article |
| id | doaj.art-babee44c8b8a49fabc830788ba575261 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-10T01:10:38Z |
| publishDate | 2022-06-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-babee44c8b8a49fabc830788ba5752612023-11-23T14:18:26ZengMDPI AGJournal of Clinical Medicine2077-03832022-06-011111317710.3390/jcm11113177Visual Outcomes of Pupilloplasty in Ocular Trauma and Iatrogenic DamageKatarzyna Nowomiejska0Dariusz Haszcz1Katarzyna Adamczyk2Agnieszka Brzozowska3Vincenza Bonfiglio4Mario Damiano Toro5Robert Rejdak6Chair and Department of General and Pediatric Ophthalmology, Medical University of Lublin, 20-079 Lublin, PolandChair and Department of General and Pediatric Ophthalmology, Medical University of Lublin, 20-079 Lublin, PolandChair and Department of General and Pediatric Ophthalmology, Medical University of Lublin, 20-079 Lublin, PolandDepartment of Mathematics and Medical Biostatistics, Medical University of Lublin, 20-090 Lublin, PolandEye Clinic, Biomedicine, Neuroscience and Advance Diagnostic (BIND) Department, University of Palermo, 90143 Palermo, ItalyChair and Department of General and Pediatric Ophthalmology, Medical University of Lublin, 20-079 Lublin, PolandChair and Department of General and Pediatric Ophthalmology, Medical University of Lublin, 20-079 Lublin, PolandPurpose: To report the visual outcomes of different techniques for iris pupilloplasty in eyes after traumatic and iatrogenic damage. Methods: 70 consecutive eyes with posttraumatic (80%) and postoperative (20%) iris damage were included. According to the preoperative diagnosis, the eyes were divided into three groups: mydriasis (50%), partial iris defects (24%), and iridodialysis (26%). Multiple techniques were performed: the Siepser slip-knot technique, the “lasso” technique, and suturing to the sclera. These techniques were combined in some cases. Results: The best improvement of visual acuity was found for the Siepser slip-knot technique with a median of 0.7 (SD ± 0.83) before surgery and 0.52 logMAR (SD ± 0.65) after surgery with regard to the surgical technique, and for mydriasis with a median of 0.7 (SD ± 0.75) before surgery and 0.52 logMAR (SD ± 0.49) after surgery with regard to preoperative diagnosis. Pupilloplasty was combined with additional surgery (corneal suturing, secondary intraocular lens implantation, anterior or pars plana vitrectomy) in 80% of cases. Apart from corneal suturing, all additional procedures ensured improvement in visual acuity. Conclusions: The slip-knot technique was the only suturing technique that resulted in a significant improvement in visual acuity. Other surgical procedures are usually needed in the majority of cases that undergo pupilloplasty, and they also give visual gain.https://www.mdpi.com/2077-0383/11/11/3177pupilloplastymydriasisirydodialysis |
| spellingShingle | Katarzyna Nowomiejska Dariusz Haszcz Katarzyna Adamczyk Agnieszka Brzozowska Vincenza Bonfiglio Mario Damiano Toro Robert Rejdak Visual Outcomes of Pupilloplasty in Ocular Trauma and Iatrogenic Damage Journal of Clinical Medicine pupilloplasty mydriasis irydodialysis |
| title | Visual Outcomes of Pupilloplasty in Ocular Trauma and Iatrogenic Damage |
| title_full | Visual Outcomes of Pupilloplasty in Ocular Trauma and Iatrogenic Damage |
| title_fullStr | Visual Outcomes of Pupilloplasty in Ocular Trauma and Iatrogenic Damage |
| title_full_unstemmed | Visual Outcomes of Pupilloplasty in Ocular Trauma and Iatrogenic Damage |
| title_short | Visual Outcomes of Pupilloplasty in Ocular Trauma and Iatrogenic Damage |
| title_sort | visual outcomes of pupilloplasty in ocular trauma and iatrogenic damage |
| topic | pupilloplasty mydriasis irydodialysis |
| url | https://www.mdpi.com/2077-0383/11/11/3177 |
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