Iris injuries can be repaired with either iris suturing (pupilloplasty) or artificial iris prostheses (Morcher aniridic iris segments and Human Optics iris prostheses). Dr Andrew is proficient in both of these operations.

There are numerous surgical techniques for repairing iris defects and each has its specific advantages and considerations.  Having detailed knowledge of each technique can improve patient outcomes.

Dr Andrew performs pupil cerclage iris suturing, partial pupil cerclage, and iris repair withinterrupted sutures. He performs the surgery with intraocular microinstruments and McAhmed suture knots, Seipser knots, and intraocular tying. The key to achieving the best possible result is a delicate touch and highly rehearsed technique.

Iris injuries can be very disabling due to the dramatic light sensitivity and cosmetic problems that they cause. Fortunately, the results of iris repair (pupilloplasty) in typically presenting patients have shown to be very effective.

Gold Coast eye surgeon performing iris surgery with iris prosthesis
Human Optics artificial iris prosthesis to repair iris trauma injury in Gold Coast Australia

Iris Prosthesis

This is an artificial iris prosthesis made by HumanOptics. Each implant is hand crafted in Germany to precisely match the colour and detail of the fellow (normal) iris. High resolution images of the normal iris are sent to HumanOptics and an identical prosthesis is manufactured and shipped within 6 weeks. Read more about HumanOptics artificial iris implants here. Photograph courtesy of HumanOptics.

Repair of iris injury with iris cerclage pupilloplasty in Australia by Dr Nick Andrew

Dislocated cataract

Left: dislocated cataract and dilated irregular pupil following trauma.

Right: The immediate post-op appearance following cataract surgery using Morcher capsule hooks, capsular tension ring, and iris cerclage pupilloplasty (iris suturing).

Iris surgery with iris suturing usig pupil cerclage pupilloplasty.

Irregular pupil

Left: Cataract and dilated irregular pupil following an acute angle closure glaucoma attack.

Right: The immediate post-op appearance following cataract surgery, minimally-invasive glaucoma surgery using iStents, and pupilloplasty (iris suturing) with adjunctive iris cautery. In addition, I performed goniosynechiolysis to remove adhesions of iris from the drainage channels and endocyclophotogonioplasty (endoscopic laser probe) to widen the patient’s narrow drainage angle. The pigmented areas around the pupil margin fade post-op.