Retroiridian Pupilloplasty for Long-Standing Traumatic Pseudoacorea in a Phakic Eye: Surgical Technique

We describe a novel surgical technique— retroiridian pupilloplasty —performed in a patient with traumatic pseudoacorea without cataract, presenting a 58-year history. Originally described by our group in 2022, the technique involves the creation of a neopupil posterior to the iris via peripheral iridectomy and the use of an anterior chamber vitrectome. In this case, the procedure resulted in significant improvements in both visual function and cosmetic appearance, required minimal postoperative follow-up, and allowed for rapid recovery. From the surgeon’s perspective, it was a straightforward, effective, and safe approach, representing a simple and viable therapeutic option for similar cases.