University of Iowa Health Care

Ophthalmology and Visual Sciences

EyeRounds.org

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



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/

last updated: 07/01/2021