Surgical treatment of postoperative dilated, nonreactive pupil in eyes after combined pars plana lensectomy and vitrectomy.
Synechiae between the iris and tissue posterior to the iris can cause a markedly dilated, nonreactive pupil that is cosmetically undesirable after combined pars plana lensectomy and vitrectomy for complicated forms of retinal detachment. The authors have used a combined limbal and pars plana approach to lyse the posterior synechiae, resulting in partial pupillary constriction. The surgical technique is described, and clinical results are illustrated.
Michels
R G
RG
Retina Center, Saint Joseph Hospital, Baltimore, Maryland 21284-0000.
Glaser
B M
BM
D000293:Adolescent; D000328:Adult; D005260:Female; D006801:Humans; D007498:Iris / Q000601:surgery; D007908:Lens, Crystalline / Q000601:surgery; D008297:Male; D008875:Middle Aged; D015878:Mydriasis / Q000209:etiology / Q000601:surgery*; D012163:Retinal Detachment / Q000601:surgery; D013514:Surgical Procedures, Operative / Q000379:methods; D014821:Vitrectomy / Q000009:adverse effects*