Lens and Cataract

Updrawn Pupil

Updrawn Pupil

Clinical Features

  • Superiorly displaced pupil.
  • Symptoms:
    • May be asymptomatic
    • Glare
    • Decrease vision because part of the iris may cover the optical axis
  • May be associated with sectoral stromal iris atrophy, ocular trauma or ocular surgery due to vitreous or iris entrapment, IOL placement, etc.
  • May be associated with ocular syndrome such as Rieger's or essential iris atrophy.

Management

  • Observation
  • Surgical technique refinement, which may include reconstruction of the pupil
  • Vitreous strand lysis using YAG laser