Dataset Information

Visual Outcomes of Pupilloplasty in Ocular Trauma and Iatrogenic Damage.

ABSTRACT:

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.

SUBMITTER: Nowomiejska K

PROVIDER: S-EPMC9181509 | biostudies-literature | 2022 Jun

REPOSITORIES: biostudies-literature

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Publications

Visual Outcomes of Pupilloplasty in Ocular Trauma and Iatrogenic Damage.

Nowomiejska Katarzyna K Haszcz Dariusz D Adamczyk Katarzyna K Brzozowska Agnieszka A Bonfiglio Vincenza V Toro Mario Damiano MD Rejdak Robert R

Journal of clinical medicine 20220602 11

<h4>Purpose</h4>To report the visual outcomes of different techniques for iris pupilloplasty in eyes after traumatic and iatrogenic damage.<h4>Methods</h4>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 s ...[more]

PMID: 35683581

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Dataset Information

Visual Outcomes of Pupilloplasty in Ocular Trauma and Iatrogenic Damage.

Purpose

Methods

Results

Conclusions

Publications

Visual Outcomes of Pupilloplasty in Ocular Trauma and Iatrogenic Damage.

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