Disfigured Pupil

[Boudreaux84]

Short story of what happened before I ask my question..... When I was around 13 years old some friends and I were shooting targets in one of there back yards with a paint ball gun. After I finished shooting I went up to the target to see how I did. The one friend thought it would be funny to shoot me in the back as I was at the target but as soon as I heard the paintball gun go off I turned around and took a paintball straight to the left eye. Very painful and also very lucky I didn't loose my eye completely. The accident caused me to loose vision but it is corrected to 20/20 with contacts or glasses. Besides that it cause trauma to my pupil keeping it at a constantly dilated and also gave it an abnormal look almost like my pupil leaked into the iris. It has cause some trouble for me in the past 20 years both cosmetically and physically. My eyes are constantly sensitive to light and it has caused some self esteem issues too. So now getting to my question, The eye doctor that I see says it's to risky of a surgery to correct my pupil but almost feels like I'm getting blown off cause they don't want to deal with it. I've found video's online of doctors performing the surgery and know that they are out there. I'd get a second opinion but I'd have to travel for it seeing how he is the only eye surgical place in my town. Does or has anyone had any similar issues and found someone that was able to correct it. Any feedback would be greatly appreciated.

[JohnHaganMD]

The advice you've been given is likely the best thing for you. First of all never, never consider having an artificial pupil put in your eye like they do in Panama for cosmetic reasons. those are ultra-dangerous and can cause inflammation, infection, glaucoma, cataract and loss of eye. You can consider cosmetic soft contacts that have a round pupil. You should see an ethical ophthalmologist or optometrist if you go that route. If someone has a 'blown pupil" and it was 6 mm and caused disabling glare it's possible to put in a purse-string incision but the pupil doesn't react so its not the same size as the normal one and its hard for the doctor to see the back of the eye. Sometimes weak dilation (2.5% neosynephrine) or weak constrictions (1 or 0.5% pilocarpinge) or alphagan P can be used to make the pupil smaller or larger.   JCH MD