Fixed pupil after corneal transplant

[pakafa]

I had a corneal transplant 3 years ago.  Afterwards my pupil was fixed completely opened. After several weeks he gave me eye drops typically used for Glaucoma. to see if it would help. It did help some, but it is 3 to 4 times larger than the other eye. Also during this surgery, my eyelid does not open all the way. Two years after the corneal surgery (a year ago), I had cataract surgery in the same eye. At the end of the surgery, the surgeon squeezed the pupil to see if the pupil would retract.  It did not. What can now be down to correct the pupil and the eyelid that does not open all the way? I am very self conscience about it.  Everyone I meet notice and look at the eye immediately.  Thank you.

[JohnHaganMD]

The problem has been reported after many types of eye surgery.  The drops that were prescribed were probably dilute pilocarpine drops.  They sometimes work but can cause headaches and high concentrations can increase risk of retinal detachment.

Your simplest solution would be to wear soft colored contact lens in both eyes. These contacts have a pupil the same size in both sides. Other things are more complicated.  A "purse string" suture can be put in the iris/pupil to make it smaller but it will not react like the other one just be smaller. It can also make it harder to see the back of the eye.  There is an artificial pupil that goes inside the eye. I would avoid that if possible as the risks are too high. You can also see an oculoplastic surgeon about correcting the droopy eyelid.