Specialists at Dr Agarwals Eye Hospital in Chennai have highlighted pinhole pupilloplasty, a minimally invasive surgical procedure, as an effective alternative to corneal transplantation for select patients suffering from irregular corneas and vision impairment. With over one lakh people in India estimated to require corneal transplants annually, experts believe this innovative technique could provide a viable solution for many, especially those unsuitable for donor grafts or facing long waiting periods.
Key Highlights at RETICON 2026
The procedure, which improves vision by creating a pinhole effect, emerged as a major highlight at RETICON 2026, the hospital's flagship retinal conference. The event featured around 50 speakers from India and abroad, with sessions focusing on emerging trends in retina care, advancements in the treatment of retinal vascular diseases, and innovations in surgical retina.
Expert Insights on Pinhole Pupilloplasty
Dr Manoj Khatri, Director of Vitreo-Retinal Services at Dr Agarwals Eye Hospital, stated: "There has been an increase in cases of bleeding, blindness, and other eye-related complications among adults with diabetes, hypertension, and kidney or liver disorders. Pinhole pupilloplasty can be an alternative for many as it also helps prevent scarring after surgery." He emphasized that the procedure is particularly beneficial for patients who are not ideal candidates for traditional corneal transplants.
Diabetic Retinopathy and Laser Treatment
Dr Amar Agarwal, Chairman of the hospital, noted: "Through RETICON 2026, we aim to demonstrate the latest advancements in surgical techniques to delegates. India is one of the diabetic capitals of the world, and diabetic retinopathy often leads to bleeding in the eye. While many tend to opt for surgery, it is important to understand that laser treatment is often a safer, minimally invasive option." He stressed the importance of exploring less invasive alternatives to manage eye complications arising from systemic diseases.
The conference also addressed the growing burden of diabetes-related eye conditions, with experts calling for increased awareness about preventive care and early intervention. Pinhole pupilloplasty, by offering a less invasive route, could reduce the strain on transplant waiting lists and improve outcomes for patients with irregular corneas.
