ArticleJournal of clinical medicine2022
Visual Outcomes of Pupilloplasty in Ocular Trauma and Iatrogenic Damage.
Article in Journal of clinical medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed, 8 citations in OpenAlex.
- Visual and optical outcomes of pupilloplasty in glued intrascleral intraocular lens eyes with irregular mydriatic pupils.Indian journal of ophthalmology · 2026Observational
- Use of a Kerato-lenticule extraction (KLEx) lenticule to protect the lens during pupilloplasty: a novel technique in phakic eyes.American journal of ophthalmology case reports · 2025Article
- Triple procedure for management of traumatic aphakia, glaucoma and mydriasis.International journal of ophthalmology · 2025Article
- T-shaped pars plana scleral incision to remove large intraocular foreign body.Frontiers in medicine · 2024Article
- Evaluation of the effect of gentamicin in surgical perfusion solution on cataract postoperative endophthalmitis.BMC ophthalmology · 2022Article
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo report the visual outcomes of different techniques for iris pupilloplasty in eyes after traumatic and iatrogenic damage.
methods70 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.
resultsThe 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.
conclusionsThe 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.
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