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Single suture customized loop for large iridodialysis repair

Authors Omar Yousif M

Received 25 April 2016

Accepted for publication 24 May 2016

Published 28 September 2016 Volume 2016:10 Pages 1883—1890


Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 2

Editor who approved publication: Dr Scott Fraser

Supplementary video presented by Dr Mohamed Omar Yousif.

Views: 3155

Mohamed Omar Yousif

Department of Ophthalmology, Faculty of Medicine, Ain Shams University, Nasr City, Cairo, Egypt

Abstract: Managing large iridodialysis that may occur during phacoemulsification is challenging. I describe how a procedure to reposit a prolapsed iris while the anterior chamber is markedly inflated by a current of infusion fluid may inadvertently lead to large iridodialysis, and discuss how to avoid such a complication. I describe a fast and efficient technique for managing large iridodialysis both immediately, once it occurs, or as a secondary maneuver. My technique involved fixing the iris periphery back to its root at the anterior chamber angle using 10-0 polypropylene suture with two straight needles introduced directly through the cornea at distant points, and an insulin syringe as a guide track to a point 1.5 mm from the limbus at the base of a triangular scleral flap that was designed to be centered on the area of iridodialysis. I confirmed the simplicity, efficacy, and safety of my technique through a 1-year follow-up period.

Keywords: iridodialysis, iridoplasty, pupilloplasty, phaco complications

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