Friday, October 5, 2018

Dr Agarwal’s introduces pinhole pupilloplasty

CHENNAI, OCTOBER 05, 2018 00:00 IST



A patient who underwent the procedure being examined by Dr. Amar Agarwal, Chairman and Managing Director, Dr. Agarwal's Eye Hospital.M. VedhanM_VEDHAN
New technique to help treat astigmatism


S. Sadhath Ali, 59, had undergone a corneal transplant in the left eye for a fungal infection. He developed severe astigmatism which could not be corrected by any procedure and he could not be given glasses for his power of -24.

The Alwarpet resident came to Dr. Agarwal’s Eye Hospital seeking help.

Hospital chairman and ophthalmic surgeon Dr. Amar Agarwal, who reviewed him said he suffered from severe astigmatism of about 20 diopter, which laser cannot treat.

Nor could spectacles of such high power be prescribed for him.

“I did not consider pinhole intraocular lens though in India we do not require Food and Drug Administration approval,” he said.

Instead he decided to reduce the size of the pupil to less than 1.5 mm.

Since astigmatism resulted in multiple rays of light falling on the retina leading to blurred vision, the surgeon decided to reduce the size of the pupil’s diaphragm by sutering the edges and preventing light rays entering from the periphery.

The procedure is called pinhole pupilloplasty (PPP). “The patient is now able to see clearly and may not require corrective glasses,” he explained.

The results were there for all to see when the patient was able to see well after four days post-surgery.

Dr. Amar used the same procedure on J. Bhaskaran, 67, of Tiruvallur district, who sustained an injury to his eye. The surgeon said he had introduced the technique at the European Society of Cataract and Refractive Surgeons meeting and had published his work.

The PPP procedure could be considered for people who have had an eye transplant or surgery; or have high astigmatism which prevents use of laser treatment. The procedure can be done on children too and they would not require a repeat surgery at a later time, Dr. Amar said.

No comments:

Post a Comment

NEWS TODAY 25.09.2024