%0 Clinical Trial
%T Comparison of cosmesis, mydriasis, fundus visibility, and anterior chamber depth following single-pass four-throw pupilloplasty in congenital and traumatic iris defects.
%A Singh SP
%A Gupta S
%A Chaudhary A
%A Dwivedi K
%A Singh VK
%A Singh S
%J Indian J Ophthalmol
%V 72
%N 4
%D 2024 Apr 1
%M 38189524
%F 2.969
%R 10.4103/IJO.IJO_375_23
%X <B>OBJECTIVE: </B>To compare postoperative cosmesis, mydriasis, fundus visibility, and anterior chamber depth (ACD) in congenital and traumatic iris defects after single-pass four-throw pupilloplasty (SFTP).<BR><B>METHODS: </B>Hospital-based non-randomized interventional study.<BR><B>METHODS: </B>SFTP was done along with phacoemulsification in six patients each with congenital and traumatic iris defects, and the patients were followed for a minimum period of 3 months. The postoperative pupil shape, size, mydriasis, and ACD were compared between the two groups.<BR><B>RESULTS: </B>Tissue approximation was successful in 11 out of 12 patients (91.7%), whereas it failed to do so in one patient with traumatic iris tear (8.3%). A central round pupil was attained in all six patients with congenital defects (group 1), whereas in the traumatic group (group 2), a central round pupil was attained in four cases. Group 1 did not show a significant reduction in horizontal pupil diameter, but group 2 had a significant reduction in pupil diameter postoperatively. Mydriasis and fundus visibility were satisfactory in all cases. There was a significant deepening of ACD in both groups.<BR><B>CONCLUSIONS: </B>Traumatic mydriasis usually requires SFTP at two opposite poles to achieve a central pupil with a significant reduction in pupil size, whereas congenital coloboma requires SFTP to be done at the site of coloboma with occasional enlargement at the opposite pole if the pupil is eccentric.