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

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...

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Main Authors: Mahipal S Sachdev, Ritesh Narula, Nirmala Sudhamala, Gitansha S Sachdev
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2021-01-01
Series:Indian Journal of Ophthalmology
Subjects:
Online Access:http://www.ijo.in/article.asp?issn=0301-4738;year=2021;volume=69;issue=3;spage=755;epage=757;aulast=Sachdev
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author Mahipal S Sachdev
Ritesh Narula
Nirmala Sudhamala
Gitansha S Sachdev
author_facet Mahipal S Sachdev
Ritesh Narula
Nirmala Sudhamala
Gitansha S Sachdev
author_sort Mahipal S Sachdev
collection DOAJ
description 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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spelling doaj.art-ea7d5edaa7e84a6ca7bbd9b430d31d012022-12-21T22:46:15ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892021-01-0169375575710.4103/ijo.IJO_2124_20Intraocular lens scaffold pupilloplasty: A novel technique for pupilloplasty in phakic eyesMahipal S SachdevRitesh NarulaNirmala SudhamalaGitansha S SachdevNumerous 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.http://www.ijo.in/article.asp?issn=0301-4738;year=2021;volume=69;issue=3;spage=755;epage=757;aulast=Sachdevintraocular lens scaffoldphakic eyespupilloplastytraumatic mydriasis
spellingShingle Mahipal S Sachdev
Ritesh Narula
Nirmala Sudhamala
Gitansha S Sachdev
Intraocular lens scaffold pupilloplasty: A novel technique for pupilloplasty in phakic eyes
Indian Journal of Ophthalmology
intraocular lens scaffold
phakic eyes
pupilloplasty
traumatic mydriasis
title Intraocular lens scaffold pupilloplasty: A novel technique for pupilloplasty in phakic eyes
title_full Intraocular lens scaffold pupilloplasty: A novel technique for pupilloplasty in phakic eyes
title_fullStr Intraocular lens scaffold pupilloplasty: A novel technique for pupilloplasty in phakic eyes
title_full_unstemmed Intraocular lens scaffold pupilloplasty: A novel technique for pupilloplasty in phakic eyes
title_short Intraocular lens scaffold pupilloplasty: A novel technique for pupilloplasty in phakic eyes
title_sort intraocular lens scaffold pupilloplasty a novel technique for pupilloplasty in phakic eyes
topic intraocular lens scaffold
phakic eyes
pupilloplasty
traumatic mydriasis
url http://www.ijo.in/article.asp?issn=0301-4738;year=2021;volume=69;issue=3;spage=755;epage=757;aulast=Sachdev
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AT riteshnarula intraocularlensscaffoldpupilloplastyanoveltechniqueforpupilloplastyinphakiceyes
AT nirmalasudhamala intraocularlensscaffoldpupilloplastyanoveltechniqueforpupilloplastyinphakiceyes
AT gitanshassachdev intraocularlensscaffoldpupilloplastyanoveltechniqueforpupilloplastyinphakiceyes