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Single suture customized loop for large iridodialysis repair
- Source :
- Clinical Ophthalmology, Vol Volume 10, Pp 1883-1890 (2016), Clinical Ophthalmology (Auckland, N.Z.)
- Publication Year :
- 2016
- Publisher :
- Informa UK Limited, 2016.
-
Abstract
- 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 1.5mm 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
- Subjects :
- Polypropylene suture
medicine.medical_specialty
medicine.medical_treatment
Insulin syringe
03 medical and health sciences
0302 clinical medicine
Suture (anatomy)
Cornea
Ophthalmology
medicine
Iris (anatomy)
phaco complications
Iridodialysis
business.industry
Pupilloplasty
Methodology
Clinical Ophthalmology
Phacoemulsification
RE1-994
medicine.disease
Iridoplasty
Surgery
Phaco complications
Loop (topology)
medicine.anatomical_structure
030221 ophthalmology & optometry
business
030217 neurology & neurosurgery
Subjects
Details
- ISSN :
- 11775483
- Volume :
- 10
- Database :
- OpenAIRE
- Journal :
- Clinical Ophthalmology
- Accession number :
- edsair.doi.dedup.....696dc63ff4ef2acf498b3bd8915b4094