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Pinhole pupilloplasty is a surgical procedure that aims to narrow the pupil to pinhole size to impart greater depth of focus and neutralize associated higher-order aberrations.
Following pinhole pupilloplasty (PPP), patients usually experience satisfactory vision under photopic and mesopic light condition, as documented in our series (Narang et al.). Recently, we encountered a few patients who experienced visual difficulty in poor illumination or during twilight or nighttime conditions. Under normal circumstances, the pupil dilates when dim illumination is encountered. However, after PPP, the