Publication
Different approaches to surgical pupilloplasty
| dc.contributor.author | Pina, S | |
| dc.contributor.author | Pedrosa, C | |
| dc.contributor.author | Azevedo, A | |
| dc.contributor.author | Ramalho, M | |
| dc.contributor.author | Pêgo, P | |
| dc.contributor.author | Feijóo, B | |
| dc.contributor.author | Prieto, I | |
| dc.date.accessioned | 2012-12-18T11:04:20Z | |
| dc.date.available | 2012-12-18T11:04:20Z | |
| dc.date.issued | 2012 | |
| dc.description.abstract | Purpose: To describe three different minimal invasive surgical approaches for correction of traumatic and congenital pupil abnormalities. Setting/Venue: Ophthalmology Department, Prof Dr. Fernando Fonseca Hospital EPE. Amadora, Lisboa, Portugal Methods: 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 present the surgery videos. Results: All patients showed an acceptable pupil shape and position after surgical procedures that provided a good functional and cosmetic results. Conclusions: 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 esthetic outcome. | por |
| dc.identifier.citation | CONGRESS OF THE ESCRS, 30, Milan, 8 -12 September 2012 | por |
| dc.identifier.uri | http://hdl.handle.net/10400.10/808 | |
| dc.language.iso | eng | por |
| dc.peerreviewed | yes | por |
| dc.publisher | European Society of Cataract and Refractive Surgeons | por |
| dc.subject | Pupilloplasty | por |
| dc.title | Different approaches to surgical pupilloplasty | por |
| dc.type | conference object | |
| dspace.entity.type | Publication | |
| oaire.citation.conferencePlace | Milan | por |
| oaire.citation.title | CONGRESS OF THE ESCRS | por |
| rcaap.rights | openAccess | por |
| rcaap.type | conferenceObject | por |