{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T20:39:45Z","timestamp":1786653585637,"version":"build-2736575974"},"reference-count":17,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"Suppl 1","license":[{"start":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T00:00:00Z","timestamp":1777507200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,5]]},"abstract":"\n Purpose:<\/jats:title>\n The purpose of this paper is to evaluate the impact of pupilloplasty on visual outcomes and optical quality in eyes with irregular, persistently dilated pupils following glued intrascleral posterior chamber intraocular lens (IOL) implantation.<\/jats:p>\n <\/jats:sec>\n \n Design:<\/jats:title>\n Retrospective observational study.<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n Fourteen eyes of fourteen patients presenting with persistent mydriasis and visual symptoms after glued intrascleral IOL fixation were analyzed. Single-pass four-throw pupilloplasty was performed in all cases except one, which required trifold pupilloplasty. Preoperative and 1-week postoperative evaluations included best-corrected visual acuity (BCVA), mesopic pupil diameter, and corneal wavefront parameters\u2014optical path difference root mean square (OPD RMS), higher-order RMS (HO RMS), astigmatism RMS, coma, spherical aberration, and point spread function (PSF) Strehl ratio\u2014measured using the Sirius Scheimpflug\u2013Placido system. Subjective visual satisfaction was also assessed. Outcomes were assessed at 1 week postoperatively, representing early anatomical and optical stabilization following pupillary reconstruction.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n Mean BCVA improved significantly from 0.62 \u00b1 0.31 to 0.23 \u00b1 0.10 logMAR (\n P<\/jats:italic>\n < 0.001). Mesopic pupil size reduced from 6.18 \u00b1 0.88 to 2.59 \u00b1 0.21 mm (\n P<\/jats:italic>\n < 0.001). Significant postoperative reductions were observed in OPD RMS, HO RMS, astigmatism RMS, coma, and spherical aberration (all\n P<\/jats:italic>\n \u2264 0.03). The PSF Strehl ratio increased more than threefold (\n P<\/jats:italic>\n < 0.001). All patients reported symptomatic improvement, with 85.7% rating postoperative vision as very good or excellent. No intraoperative or postoperative complications were noted.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n Pupilloplasty effectively reconstructs a near-physiologic pupil and leads to marked early improvement in visual acuity and optical quality in eyes with irregular mydriasis after glued intrascleral IOL implantation; however, longer follow-up studies are required to confirm long-term stability.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/ijo.ijo_3102_25","type":"journal-article","created":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T16:00:09Z","timestamp":1777564809000},"page":"S97-S102","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Visual and optical outcomes of pupilloplasty in glued intrascleral intraocular lens eyes with irregular mydriatic pupils"],"prefix":"10.4103","volume":"74","author":[{"given":"Vipin","family":"Rana","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, Command Hospital (Eastern Command), Alipore, Kolkata, West Bengal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amit N","family":"Tripathi","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Unit Hospital, Sashastra Seema Bal, Maharajganj, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Santosh","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Command Hospital (Eastern Command), Alipore, Kolkata, West Bengal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ranjit","family":"Goenka","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Command Hospital (Eastern Command), Alipore, Kolkata, West Bengal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vijay K","family":"Sharma","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Armed Forces Medical College, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jaya","family":"Kaushik","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Military Hospital, Panagarh, West Bengal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vinod K","family":"Patra","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Command Hospital (Central Command), Lucknow, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,4,30]]},"reference":[{"key":"R1-20260430","doi-asserted-by":"crossref","first-page":"1433","DOI":"10.1016\/j.jcrs.2008.04.040","article-title":"Fibrin glue-assisted suture less posterior chamber intraocular lens implantation in eyes with deficient posterior capsules","volume":"34","author":"Agarwal","year":"2008","journal-title":"J Cataract Refract 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tomography","volume":"67","author":"Kumar","year":"2019","journal-title":"Indian J Ophthalmol"},{"key":"R8-20260430","doi-asserted-by":"crossref","first-page":"3177","DOI":"10.3390\/jcm11113177","article-title":"Visual outcomes of pupilloplasty in ocular trauma and iatrogenic damage","volume":"11","author":"Nowomiejska","year":"2022","journal-title":"J Clin Med"},{"key":"R9-20260430","doi-asserted-by":"crossref","first-page":"1595","DOI":"10.1007\/s40123-023-00693-1","article-title":"Corneal higher-order aberrations measurements: Precision of SD-OCT\/Placido topography and comparison with a scheimpflug\/placido topography in eyes after small-incision lenticule extraction","volume":"12","author":"Ning","year":"2023","journal-title":"Ophthalmol Ther"},{"key":"R10-20260430","doi-asserted-by":"crossref","first-page":"16956","DOI":"10.1038\/s41598-023-44133-3","article-title":"Comparison of corneal measurements using two different scheimpflug analysers in sirius and pentacam 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1","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/ijo.ijo_3102_25","relation":{},"ISSN":["0301-4738","1998-3689"],"issn-type":[{"value":"0301-4738","type":"print"},{"value":"1998-3689","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,30]]},"assertion":[{"value":"2025-12-03","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-25","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}