title: Open-sky pupilloplasty during phakic penetrating keratoplasty to treat a fixed, dilated pupil.
abstract: We report a technique in which penetrating keratoplasty is performed in conjunction with open-sky pupilloplasty in a phakic patient. The technique was used in a 27-year-old man with poor vision and severe light sensitivity in the left eye dating back to an episode of presumed herpes simplex keratouveitis 13 years previously. Examination showed a best corrected visual acuity of 20/40, a paracentral midstromal corneal scar, a fixed dilated pupil, and a clear lens. Postoperatively, the pupil was relatively round with a diameter of approximately 4.0 mm, the cosmetic result was favorable, the photophobia had resolved, and the lens and corneal transplant were clear.
authors.affiliation: Cornea Service, Wills Eye Hospital, Philadelphia, Pennsylvania 19107, USA.
authors.forename: Mittanamalli S
authors.initials: MS
authors.lastname: Sridhar
authors.forename: Irving M
authors.initials: IM
authors.lastname: Raber
mesh_terms: D000328:Adult; D006801:Humans; D007498:Iris / Q000601:surgery*; D015948:Keratoplasty, Penetrating / Q000379:methods*; D007908:Lens, Crystalline / Q000502:physiology*; D008297:Male; D015878:Mydriasis / Q000601:surgery*; D020795:Photophobia / Q000601:surgery; D014792:Visual Acuity