Pinhole Pupilloplasty

Traumatic iris repair is not uncommon.

BARCELONA, Spain — In this Healio Video Perspective from the European Society of Cataract and Refractive Surgeons meeting, Amar Agarwal, MS, FRCS, FRCOphth, shares his experience with pinhole pupilloplasty.

Pinhole pupilloplasty is a method to reduce the size of a pupil to as small as a pinhole.

VIENNA — In this Healio Video Perspective from the ESCRS meeting, Ashvin Agarwal, MD, speaks about two presbyopia-correcting strategies.

WASHINGTON — In this Healio Video Perspective from the American Society of Cataract and Refractive Surgery meeting, Amar Agarwal, MS, FRCS, FRCOphth, discusses customized pinhole pupilloplasty as an effective treatment for astigmatism.

Pinhole pupilloplasty has been documented to improve visual performance in cases with higher-order aberrations. The importance of performing an iris reconstruction and PPP around the Purkinje 1 reflex has been clearly demonstrated.

Small-aperture optics, whether through a pinhole IOL, pinhole pupilloplasty or presbyopia-correcting drops, can help patients tremendously.

Pinhole pupilloplasty has helped change many lives. The idea of small-aperture optics is not only simple but advantageous in cases of high astigmatism.

Manual small-incision cataract surgery is an established method to perform cataract removal and is often considered as an alternative and a standby procedure to phacoemulsification in selected cases with associated ocular comorbidity.

Pupil size usually plays a significant role in the quality of vision.