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. 2019 Aug 8;10(3):208-211.
doi: 10.4103/tjo.tjo_26_19. eCollection 2020 Jul-Sep.

A novel technique for closed-chamber iridodialysis repair

Jen-Yu Huang  1 , Yu-Ling Liu  2 , Ya-Chi Huang  2 , Chang-Ping Lin  2
Affiliations

A novel technique for closed-chamber iridodialysis repair

Jen-Yu Huang et al. Taiwan J Ophthalmol. .

Abstract

Purpose: We introduce a novel technique for closed chamber iridodialysis repair.

Materials and methods: We use a 2.8-mm paracentesis knife to penetrate into the anterior chamber and create interrupted incisions in the sclera. The wounds are 1.5 mm distant from the limbus, at consistent 2.8-mm intervals along the dialysis area. After injecting viscocohesive ophthalmic viscosurgical device through a side port to relieve the synechia and to push the iris toward the incisions, the iris is then grasped by Kelman forceps through the sclera, dragged carefully, and incarcerated. After adjusting the tension of the iris according to the pupil shape, the sclera and the incarcerated iris tissue were sutured together with 10-0 nylon.

Results: The technique was effective in six patients with traumatic iridodialysis.

Conclusion: Our surgical technique repairs the iris, restores the shape of pupil, as well as avoids creating a large incision in the limbus in patients suffering from iridodialysis.

Keywords: Closed-chamber; iridodialysis; repair.

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Conflict of interest statement

The authors declare that there are no conflicts of interests of this paper.

Figures

Figure 1
Figure 1
Surgical techniques. (a) Interrupted incisions of the sclera were done along the iridodialysis area.(b) A side port at the limbus was made; the ophthalmic viscosurgical device was injected to relieve the synechia and to push the iris toward the incisions.(c) The iris was grasped and incarcerated by Kelman forceps.(d) The sclera wounds and the incarcerated iris were sutured together with 10-0 nylon
Figure 2
Figure 2
Case report (case 3).(a) A 49-year-old male was injured on his left eye by rocks when working. One corneoscleral wound was noted at the 2 o'clock position of the cornea, combined with 11–2 o'clock wide iridodialysis. The dialysis area is outlined with white dashed lines. (b) One week after the repair, one 12-o'clock stitch was noted under the conjunctiva. The pupil was of normal size but mildly oval in shape
See this image and copyright information in PMC

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