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Repairing iridodialysis by riveting with a double-flanged polypropylene suture.
Journal of Cataract & Refractive Surgery ( IF 2.8 ) Pub Date : 2019-10-01 , DOI: 10.1016/j.jcrs.2019.08.001
Mami Kusaka 1 , Naomi Miyamoto 1 , Masayuki Akimoto 1
Affiliation  

Three patients with iridodialysis were recruited. A 6-0 polypropylene suture was cut to the proper length and flanged by cautery. A long (19.0 mm), ultrathin 30-gauge needle was inserted in the anterior chamber from the sclera around the iris and penetrated in the dialyzed iris, then exited through the cornea on the contralateral side. The flanged polypropylene suture was inserted in the needle from the unflanged side. After the 30-gauge needle was withdrawn, the flanged suture remained, passing the dialyzed iris and sclera. The unflanged ends of the polypropylene sutures were cut and flanged until each flange reached the sclera. It was easy to place multiple sutures. There were no cases of extrusion of the suture nor of the recurrence of iridodialysis up to 1 year. This technique is a good alternative to repair iridodialysis.

中文翻译:

通过双法兰聚丙烯缝线铆接修复虹膜透析。

招募了三名虹膜透析患者。将6-0聚丙烯缝合线切成适当的长度,并通过烧灼进行折边。将一根长19.0 mm的超薄30号针从虹膜周围的巩膜插入前房,并渗入透析过的虹膜,然后通过对侧的角膜退出。将带凸缘的聚丙烯缝合线从未带凸缘的一侧插入针中。拔出30号针后,保留带凸缘的缝合线,经过透析的虹膜和巩膜。切开聚丙烯缝合线的无凸缘端,并将其凸缘化,直到每个凸缘到达巩膜为止。放置多根缝合线很容易。直至1年,均未出现缝合线挤压或虹膜透析复发的情况。该技术是修复虹膜透析的好选择。
更新日期:2019-10-01
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