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Different approaches to surgical pupilloplasty

dc.contributor.authorPina, S
dc.contributor.authorPedrosa, C
dc.contributor.authorAzevedo, A
dc.contributor.authorRamalho, M
dc.contributor.authorPêgo, P
dc.contributor.authorFeijóo, B
dc.contributor.authorPrieto, I
dc.date.accessioned2012-12-18T11:04:20Z
dc.date.available2012-12-18T11:04:20Z
dc.date.issued2012
dc.description.abstractPurpose: 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.citationCONGRESS OF THE ESCRS, 30, Milan, 8 -12 September 2012por
dc.identifier.urihttp://hdl.handle.net/10400.10/808
dc.language.isoengpor
dc.peerreviewedyespor
dc.publisherEuropean Society of Cataract and Refractive Surgeonspor
dc.subjectPupilloplastypor
dc.titleDifferent approaches to surgical pupilloplastypor
dc.typeconference object
dspace.entity.typePublication
oaire.citation.conferencePlaceMilanpor
oaire.citation.titleCONGRESS OF THE ESCRSpor
rcaap.rightsopenAccesspor
rcaap.typeconferenceObjectpor

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