Iris Suturing
Objectives
- Describe/Demonstrate iris repair techniques given various iris defects
- Mydriasis
- Sphincter tear
- Iridodialysis
- Coloboma
Reading
- Henderson BA. Essentials of Cataract Surgery, second edition. Thorofare, NJ: Slack Inc., 2014. (WW 260 E78 2014). isbn 978-1-61711-0672
- Chapter 19: Sutured Intraocular Lenses. pgs: 193-199
(UIHC Link) - Kim, Terry. Curbside Consultation in Cataract Surgery: 49 Clinical Questions, second edition. Thorofare, NJ: Slack Inc., 2014
- Question 14: I have a Cataract patient with a traumatic iris Defect and glare symptoms what should I do?
Videos
• Iris Cerclage
Iris cerclage simulation
Watch on YouTube
Pupil cerclage technique
Watch on YouTube
Rivet CTS with pupil cerclage
Watch on YouTube
• Pupilloplasty
Sliding knot for mydriasis
Watch on YouTube
Agarwal Single pass, 4 throw pupilloplasty
Watch on YouTube
Traumatic cataract
Watch on YouTube
• Iridodialysis
Traumatic cataract with iridodialysis
Watch on YouTube
Convert to ECCE and glued IOL
Watch on YouTube
Traumatic cataract and iridodialysis
Watch on YouTube
Traumatic cataract with iridodialysis and mydriasis
Watch on YouTube
Traumatic iridodialysis and cataract
Watch on YouTube
• Coloboma
Coloboma cataract
Watch on YouTube
Interesting coloboma case
Watch on YouTube
Simulation
EQUIPMENT
27g cannula
MST duet micrograspers
9-0 prolene double arm CTC6L
Needle driver/angled tying forceps
Vannas scissors
viscoelastic
Videos for simulation
Phillips: Iris cerclage simulation
Bionkio: see video at the bottom of the product information website
Simuleye: see videos at the bottom of the product website
Suggested citation format: Haugsdal J, Kitzmann A, Oetting TA. The Iowa Ophthalmology Wet Laboratory. EyeRounds.org. Updated Posting June 28, 2021. Originally Posted December 6, 2012. Available from http://www.EyeRounds.org/tutorials/Iowa-OWL-o2021/
