Abstract

This video will demonstrate modified techniques to repair iris,pupillary distortion and iridodialysis caused by trauma or congenital iris defects which induce poor vision along with other visual symptoms like photophobia,glare and monocular diplopia.For pupilloplasty, a single pass of a 9-0 prolene suture on a long arm needle is passed through the iris tissue followed by creation of a loop with four throws around it that slides inside the eye.This creates a relatively round puil.For iridodialysis, Hangback technique is employed whereby a double armed 9-0 prolene sutures are used to bring the peripheral iris under the limbus.In another technique of Modified sewing machine technique scleral tunnel is made parallel to the damaged portions of the iris and 9-0 prolene suture threaded in a 26-gauge needle is passed through the peripheral iris to create suture loops.The needle is then passed through the loops and tied.These techniques provide excellent functional and cosmetic results.