In a country where the lack of donor cornea is often between a patient and restored vision, an innovative eye surgery developed in India is offering new hope.

Pinhole is known as Pupiloplasty (PPP), technology is changing the way ophthalmologists treat patients with severe corneal conditions, without the need for corneal transplant or long recovery period.

Cornea implants require when the cornea, clear, dome -shaped surface that covers the front of the eye, is damaged, damaged at the point, where it affects the vision or causes pain.

Bruises, infections (such as herpes simplex or fungal keratitis), keratoconus, etc. will require corneal transplantation.

Dr. The President of Aggarwal Eye Hospital, Dr. Leading by Amar Aggarwal, this groundbreaking process has not only found those taking all over India, but is also recognizing on the global platform.

In fact, I surgery at the ASCRS Film Festival at Los Angeles. Agarwal was given an international award.

Technology, which has now been widely practiced in many countries, has been credited with restoring vision where traditional methods are low.

“Some patients have a lot of visually visible that cannot be cured by normal methods, and torrent intraocular lenses work only to a certain level. It gave me the idea of ​​creating a pinhol effect in the disciple, leading me to the first Pinhol Pupiloplasty,” Dr. Aggarwal told indianoday.in.

A simple choice for corneal transplant

In traditional cases of corneal scarring, eye doctors often recommend a corneal transplant – a procedure that depends much on the donor tissue, involves a long treatment period, and risk graft rejection.

The pinhole pupiloplasty method uses stitches to change the size of the pupil without the requirement of a donor cornea, and the patients are very rapidly cured than traditional surgery.

The theory is simple: By reducing the size of the pupil similar to the tip of a pin by about 1–1.5 mm, the incoming light is more effectively concentrated on the retina, which bypasses irregularities in the cornea.

Result? For patients with complex eye issues such as sharper vision, especially corneal scars, keratocons, or radial keratotomy complications with low dazzle.

Dr. “With Pinhole Technology, patients are very rapidly cured, and long -term results are very promising. It removes rejection of corneal transplantation and long -term drug risk.”

What makes Pinhole technology unique?

The process uses very thin stitches to change the shape of the colorful part of the eye and create a small central opening (pupil). It may look simple, but what makes it special is how accurate and flexible it is.

Unlike the first surgical techniques such as modified seppers or macaconal methods, the pinhole pupiloplasty method requires low stages and causes low post-operative inflammation.

Its rare but difficult conditions have different advantages such as Urrets-Javalia syndrome (a certain thin pupil), silicon oil-inspired glucoma, and even raised intraocular pressure cases where standard treatment fails.

“It is sharp and simple, and the disciple tightens enough to reduce the dazzling and photophobia. It is especially useful in patients with high-order corneal abstinence. Also, it is reversible. We can undo it with a yag laser if necessary if necessary,” Dr. Aggarwal told.

Who can benefit from the process?

Surgery is ideal for patients who:

• Corneals are tears that cause irregular visualization
• First passed through corneal grafts and developed deformed vision
• Permanent pupil spread with dazzle
• Living with keratoconus (conical cornea)
• Radial Keratotomy, a chronic refractory surgery in the past

It is also useful in situations where a disciple has lost its ability to reduce its ability, which leads to extreme dazzling, or when the size of the cornea is so irregular that glasses or contact lenses no longer help.

A affordable option for India and beyond

For India, where the gap between the demand and availability of donor corneus remains, Pinhole is a public health implication in pupiloplasty surgery.

Estimates suggest that India requires more than 1 million corneal transplant annually, but only 25,000 is performed due to limited donor supply.

“With Pinhole Pupiloplasty, we can avoid transplantation in many cases,” Dr. Aggarwal said. “It dramatically reduces dependence on the donor cornea and also reduces the complications of transplant surgery.”

In particular, while the pinhole intraocular lens (IOL) is an alternative to high -income countries, they come with a steep price tags and fixed designs. PPP provides a more cost-effective, adaptable solution for patients and other low-resources settings in India.

Is there any risk?

Like any intraocular process, the pinhole method is not without limitations.

There is a small risk of suture (sewing) coming close to the natural lens, resulting in the formation of cataract. To avoid this, this is usually done in pseudophic eyes, meaning that the eyes in which the natural lens has already been replaced with an artificial, such as after cataract surgery.

A small negative side is that it can be difficult to examine the outer part of the retina through such a small pupil. But with modern machines such as optos or mirror, doctors can still get a clear and full view without the need to enlarge the pupil.

Pinhole Pupiloplasty marked a change of how eye diseases are contacted, especially in a country like India where health resources are unevenly distributed. In some cases, by eliminating the requirement of corneal grafts and offering near-meal consequences, the process has the ability to democratization of vision care.

“Knowing that this technique is helping people to get vision and confidence inspires me to do what I love, impress life with research, innovation and influence,” Dr. Aggarwal concluded.

As awareness increases and training becomes more widespread, this homegron innovation can become a global standard in well complex corneal care.