Pinhole pupilloplasty can be used to treat patients with higher-order aberrations and high astigmatism. However, issues can occur. This video reviews several cases in which complications involved pinhole pupilloplasty. Dr. Amar Agarwal shares tips and lessons learned, such as the benefits of using a pinhole marker and the importance of ensuring the Purkinje image is centered on the pupil.

Financial Disclosures: Dr. Amar Agarwal discloses relationships with Jaypee Highlights Medical Publishers, Inc. (Patents/Royalty); SLACK (Patents/Royalty); STAAR Surgical (Consultant/Advisor); and Thieme Medical Publishers (Patents/Royalty).