Li Can,Chen Kang,Wang Yi,Chen Shaojun.Single needle iridoplasty in close anterior chamber for extensive iridodialysis in serious ocular trauma[J].J Amry Med Univ (J Third Mil Med Univ),2011,33(14):1538-1540.
Li Can,Chen Kang,Wang Yi,Chen Shaojun.Single needle iridoplasty in close anterior chamber for extensive iridodialysis in serious ocular trauma[J].J Amry Med Univ (J Third Mil Med Univ),2011,33(14):1538-1540.DOI:
Single needle iridoplasty in close anterior chamber for extensive iridodialysis in serious ocular trauma
Objective To explore a simple and effective iridoplasty approach for extensive iridodialy-sis in serious ocular trauma during combining anterior and posterior segment operation. Methods Twenty-one patients (21 eyes) with ≥90° iridodialysis were enforced single needle repairment in close anterior chamber before vitrectomy. Firstly vitreous body in anterior chamber was removed
then iris was recovered to the original position by viscoelastic fluid
1 ml needle within 0/10 nylon suture came into anterior chamber from 1 mm to limbus corneae and then out from opposite scleral flap corresponding to injured iris. In the condition of 6 patents with ciliary body detachment
their ciliary body were sutured in the same time
after it with lensectomy and vitrectomy. Results All 21 iris were reposition
with the pupil in round or like-round shape and its diameter from 4 to 8 mm. After operation
vision acuity was improved to some degree. Fifteen cases han their best corrected visual acuity (BCVA) were better than 0.1. Their intraocular pressure ranged from 7.0 to 28.0 mmHg(mean 14.0±8.7 mmHg). Conclusion Close iridoplasty is a simple and effective operation with little damage
for massive iridodialysis in serious ocular trauma during combining anterior and posterior segment operation.