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Updated: Aug 5, 2025
Iris Fixation via External Pentagram Suturing
Published on: May 5, 2022
A novel pupilloplasty in crescent-shaped suturing pattern for coloboma and traumatic iris defects
Xiaoming Yao1, Qian Kang1, Wei Qi2
1Department of Ocular Surface Disorders and Cornea, Chengdu Aidi Eye Hospital, Sichuan, 610000, China.
Objective:
PURPOSE: To observe the safety and effect of the C-pupilloplasty for the treatment of iris coloboma and traumatic iris defects.
Methods:
A total of 21 cases (21 eyes) with iris coloboma or traumatic iris defects who underwent C-pupilloplasty (a single-pass three-throw technique) from Feb. 2016 to Mar. 2020 were analyzed retrospectively. Uncorrected visual acuity, refraction, corneal topographic keratometry and endothelial cell density were examined.
Results:
All the patients were successfully treated, and a central and round pupil was restored. The mean follow-up duration was 8.76 ± 3.58 months (ranging from 2 to 14 months). All patients had round or round-like pupils with a diameter less than or equal to 3 mm after the C-pupilloplasty. Very slightly endothelial loss, negligible symptoms such as glare, distortion, dizziness and photophobia were observed.
Conclusion:
We introduced a new technique of pupilloplasty (C-pupilloplasty) which could be a more straight forward and more effective treatment for iris coloboma and traumatic iris defect.
