Grand Rounds for today is an interesting finding of an anomalous congenital blood vessel that crosses the front of a pupil, relaxing when the pupil is small, and pulling taut when the pupil becomes is dilated. The image above is relaxed with a small pupil.
The pupil is the aperture through which light passes into the eye and is created by the circular ring of thin muscles known as the iris. These images are from a pupilloplasty made with a 10.0 prolene suture. Pupilloplasties are designed to reconstruct the shape of the pupil, typically after traumatic damage or other surgical procedures that alter the pupils shape. A damaged or non-functional pupil due to trauma can result in substantial visual glare and inability to properly adjust the amount of light entering the patients eye, so surgical repair is of substantial benefit. Continue reading “Pupilloplasty”