Single-Pass Four-Throw Technique for Pupilloplasty

Abstract

Purpose To describe a surgical technique for performing pupilloplasty. Methods In this surgical technique for pupilloplasty, after a single pass of needle through the edges of iris defect along the pupillary margin, the suture end is passed through the loop with 4 throws, creating a helical configuration in modified Siepser slipknot technique that is self-retaining and self-locking. Results The technique was performed in 27 cases and the loop did not open in any of the cases in the 6-month follow-up period. No case of iritis was seen. The iris tissue was seen well approximated to each other in all cases. Conclusions The single-pass 4-throw technique serves as an effective method to perform pupilloplasty.