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By Pablo Angel García-Uribe, MD, PhD
Clínica Oftalmológica Salauno - Uploaded on Jul 23, 2026.
- Last modified by Pablo Angel García-Uribe, MD, PhD on Aug 1, 2026.
- Rating
- Appears in
- Neopupil
- Condition/keywords
- aphakic eye, abnormal pupillary function, ocular trauma, traumatic cataract, partially resolved traumatic cataract
- Photographer
- Pablo Ángel García-Uribe, MD, PhD Vitreoretinal Specialist
- Imaging device
- Photo slit lamp biomicroscope
- Description
- This anterior segment photograph shows an aphakic eye in a patient with a remote history of traumatic cataract in childhood, who subsequently underwent cataract extraction with superior iridectomy, resulting in surgical aphakia. The image demonstrates residual capsular/cortical lens material with marked chronic capsular phimosis and extensive iridocapsular synechiae, leading to pupillary seclusion. These chronic structural changes have resulted in the formation of a new functional central opening, clinically resembling a secondary neopupil. This case illustrates how long-standing postoperative and post-traumatic anterior segment changes can significantly alter pupillary anatomy and create an alternative pupillary aperture.
