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A novel iridoplasty suture technique to repair iris defects and traumatic mydriasis

A new iridoplasty method is described, which uses the U-suture technique to repair traumatic mydriasis and large iris defects. Two 0.9 mm opposing corneal incisions were made. The needle was inserted through the first incision, passed through the iris leaflets, and removed through the second incisio...

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Autores principales: Karabaş, V. Levent, Seyyar, Sevim Ayça, Tokuc, Ecem Onder, Şahin, Özlem
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10391397/
https://www.ncbi.nlm.nih.gov/pubmed/37202963
http://dx.doi.org/10.4103/ijo.IJO_1910_22
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author Karabaş, V. Levent
Seyyar, Sevim Ayça
Tokuc, Ecem Onder
Şahin, Özlem
author_facet Karabaş, V. Levent
Seyyar, Sevim Ayça
Tokuc, Ecem Onder
Şahin, Özlem
author_sort Karabaş, V. Levent
collection PubMed
description A new iridoplasty method is described, which uses the U-suture technique to repair traumatic mydriasis and large iris defects. Two 0.9 mm opposing corneal incisions were made. The needle was inserted through the first incision, passed through the iris leaflets, and removed through the second incision. The needle was reinserted through the second incision and removed through the first incision by re-passing the needle through the iris leaflets to form a U-shaped suture. The modified Siepser technique was applied to fix the suture. Thus, with a single knot, the iris leaflets were brought closer (shrinking like a pack), fewer sutures were used and fewer gaps were left. Satisfactory aesthetic and functional results were obtained in all cases in which the technique was applied. There was no suture erosion, hypotonia, iris atrophy, or chronic inflammation during the follow-up.
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spelling pubmed-103913972023-08-02 A novel iridoplasty suture technique to repair iris defects and traumatic mydriasis Karabaş, V. Levent Seyyar, Sevim Ayça Tokuc, Ecem Onder Şahin, Özlem Indian J Ophthalmol Surgical Technique A new iridoplasty method is described, which uses the U-suture technique to repair traumatic mydriasis and large iris defects. Two 0.9 mm opposing corneal incisions were made. The needle was inserted through the first incision, passed through the iris leaflets, and removed through the second incision. The needle was reinserted through the second incision and removed through the first incision by re-passing the needle through the iris leaflets to form a U-shaped suture. The modified Siepser technique was applied to fix the suture. Thus, with a single knot, the iris leaflets were brought closer (shrinking like a pack), fewer sutures were used and fewer gaps were left. Satisfactory aesthetic and functional results were obtained in all cases in which the technique was applied. There was no suture erosion, hypotonia, iris atrophy, or chronic inflammation during the follow-up. Wolters Kluwer - Medknow 2023-05 2023-05-17 /pmc/articles/PMC10391397/ /pubmed/37202963 http://dx.doi.org/10.4103/ijo.IJO_1910_22 Text en Copyright: © 2023 Indian Journal of Ophthalmology https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Surgical Technique
Karabaş, V. Levent
Seyyar, Sevim Ayça
Tokuc, Ecem Onder
Şahin, Özlem
A novel iridoplasty suture technique to repair iris defects and traumatic mydriasis
title A novel iridoplasty suture technique to repair iris defects and traumatic mydriasis
title_full A novel iridoplasty suture technique to repair iris defects and traumatic mydriasis
title_fullStr A novel iridoplasty suture technique to repair iris defects and traumatic mydriasis
title_full_unstemmed A novel iridoplasty suture technique to repair iris defects and traumatic mydriasis
title_short A novel iridoplasty suture technique to repair iris defects and traumatic mydriasis
title_sort novel iridoplasty suture technique to repair iris defects and traumatic mydriasis
topic Surgical Technique
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10391397/
https://www.ncbi.nlm.nih.gov/pubmed/37202963
http://dx.doi.org/10.4103/ijo.IJO_1910_22
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