Iris reconstruction encompasses surgical techniques to repair or replace damaged iris tissue. It aims to improve light control, reduce glare, and enhance appearance after trauma, surgery, or congenital defects.
Techniques
Options include suturing torn iris leaflets, pupilloplasty to reshape the pupil, and implantation of artificial iris devices in cases of major loss. Choice depends on the amount and quality of remaining iris.
- Procedures are often combined with lens or corneal surgery
- Microsutures and specialised devices are used to recreate a round, central pupil
- Artificial iris implants can be custom coloured to match the fellow eye
- Surgery is typically performed under local or general anaesthetic in theatre
Benefits and Considerations
Successful reconstruction can significantly reduce photophobia and cosmetic concerns. However, these operations are delicate and carry risks such as inflammation, glaucoma, or endothelial cell loss.
- Careful pre‑operative planning and imaging are essential
- Patients may still need tinted lenses or sunglasses for bright conditions
- Follow‑up monitors pressure, corneal health, and implant position
- Further adjustments or staged procedures may occasionally be required
