Retroiridian Pupilloplasty
DOI:
https://doi.org/10.70313/2718.7446.v15.n1.182Keywords:
Axenfeld-Rieger syndrome, surgical technique, phakic retroiridian pupilloplasty, amblyopiaAbstract
Objective: To present a novel surgical technique defined as phakic retroiridian pupilloplasty that was performed on a patient with Axenfeld-Rieger syndrome who had no defined pupil.
Surgical technique: Phakic retroiridian pupilloplasty is an original surgical technique involving the creation of a sclerocorneal incision through a peripheral iridotomy, with the surgeon working behind the iris and creating a neopupil with an anterior chamber vitrectome. It requires very few follow-up visits and the patient’s recovery is fast. It has been performed on an adult patient with Axenfeld-Rieger syndrome and no complications have been observed after 12 months of the procedure.
Conclusion: The surgical technique described here has proven to be efficient and safe for the formation of a pupil in an adult patient with Axenfeld-Rieger syndrome. This might be of help to improve the patient’s visual perception and esthetic appearance, but mainly as an option in pediatric patients to avoid conditions such as strabismus and amblyopia.
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