Single suture customized loop for large iridodialysis repair

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...

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Autor principal: Omar Yousif M
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Lenguaje:EN
Publicado: Dove Medical Press 2016
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Acceso en línea:https://doaj.org/article/5286c34c4bcf487eb5f0041eff22800b
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spelling oai:doaj.org-article:5286c34c4bcf487eb5f0041eff22800b2021-12-02T00:04:06ZSingle suture customized loop for large iridodialysis repair1177-5483https://doaj.org/article/5286c34c4bcf487eb5f0041eff22800b2016-09-01T00:00:00Zhttps://www.dovepress.com/single-suture-customized-loop-for-large-iridodialysis-repair-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Mohamed 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 complicationsOmar Yousif MDove Medical PressarticleIridodialysisIridoplastyPupilloplastyPhaco complications.OphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 10, Pp 1883-1890 (2016)
institution DOAJ
collection DOAJ
language EN
topic Iridodialysis
Iridoplasty
Pupilloplasty
Phaco complications.
Ophthalmology
RE1-994
spellingShingle Iridodialysis
Iridoplasty
Pupilloplasty
Phaco complications.
Ophthalmology
RE1-994
Omar Yousif M
Single suture customized loop for large iridodialysis repair
description 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
format article
author Omar Yousif M
author_facet Omar Yousif M
author_sort Omar Yousif M
title Single suture customized loop for large iridodialysis repair
title_short Single suture customized loop for large iridodialysis repair
title_full Single suture customized loop for large iridodialysis repair
title_fullStr Single suture customized loop for large iridodialysis repair
title_full_unstemmed Single suture customized loop for large iridodialysis repair
title_sort single suture customized loop for large iridodialysis repair
publisher Dove Medical Press
publishDate 2016
url https://doaj.org/article/5286c34c4bcf487eb5f0041eff22800b
work_keys_str_mv AT omaryousifm singlesuturecustomizedloopforlargeiridodialysisrepair
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