Trifold technique for pupil reconstruction in large non-appositional iris defects

Large iris defects are challenging to close due to shortage of tissue and opposite vector force. By using two pupilloplasty methods, we can close large iris defects with less tractional force or tethering. The trifold technique is a combination of trocar-assisted iris repair and single-pass four-thr...

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Main Authors: Dhivya Ashok Kumar, Amar Agarwal, Soosan Jacob, Ashvin Agarwal
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-01-01
Series:Indian Journal of Ophthalmology
Subjects:
Online Access:https://journals.lww.com/10.4103/IJO.IJO_1319_24
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author Dhivya Ashok Kumar
Amar Agarwal
Soosan Jacob
Ashvin Agarwal
author_facet Dhivya Ashok Kumar
Amar Agarwal
Soosan Jacob
Ashvin Agarwal
author_sort Dhivya Ashok Kumar
collection DOAJ
description Large iris defects are challenging to close due to shortage of tissue and opposite vector force. By using two pupilloplasty methods, we can close large iris defects with less tractional force or tethering. The trifold technique is a combination of trocar-assisted iris repair and single-pass four-throw (SFT) pupilloplasty for non-appositional large iris defects. The initial two trocar-assisted iris repair sutures oppose the unopposed iris ends and the subsequent SFT seals the defect. The combination procedure is less manipulative with no complications for the iris and pupil diaphragm.
format Article
id doaj-art-ed48ce74a2214ef791eb0798c019308a
institution Kabale University
issn 0301-4738
1998-3689
language English
publishDate 2025-01-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Indian Journal of Ophthalmology
spelling doaj-art-ed48ce74a2214ef791eb0798c019308a2025-01-07T06:27:42ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892025-01-0173114614810.4103/IJO.IJO_1319_24Trifold technique for pupil reconstruction in large non-appositional iris defectsDhivya Ashok KumarAmar AgarwalSoosan JacobAshvin AgarwalLarge iris defects are challenging to close due to shortage of tissue and opposite vector force. By using two pupilloplasty methods, we can close large iris defects with less tractional force or tethering. The trifold technique is a combination of trocar-assisted iris repair and single-pass four-throw (SFT) pupilloplasty for non-appositional large iris defects. The initial two trocar-assisted iris repair sutures oppose the unopposed iris ends and the subsequent SFT seals the defect. The combination procedure is less manipulative with no complications for the iris and pupil diaphragm.https://journals.lww.com/10.4103/IJO.IJO_1319_24iris defectiris repairnon-appositional iris closurepupil reconstructionsingle-pass four-throw pupilloplastytrifold technique
spellingShingle Dhivya Ashok Kumar
Amar Agarwal
Soosan Jacob
Ashvin Agarwal
Trifold technique for pupil reconstruction in large non-appositional iris defects
Indian Journal of Ophthalmology
iris defect
iris repair
non-appositional iris closure
pupil reconstruction
single-pass four-throw pupilloplasty
trifold technique
title Trifold technique for pupil reconstruction in large non-appositional iris defects
title_full Trifold technique for pupil reconstruction in large non-appositional iris defects
title_fullStr Trifold technique for pupil reconstruction in large non-appositional iris defects
title_full_unstemmed Trifold technique for pupil reconstruction in large non-appositional iris defects
title_short Trifold technique for pupil reconstruction in large non-appositional iris defects
title_sort trifold technique for pupil reconstruction in large non appositional iris defects
topic iris defect
iris repair
non-appositional iris closure
pupil reconstruction
single-pass four-throw pupilloplasty
trifold technique
url https://journals.lww.com/10.4103/IJO.IJO_1319_24
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AT amaragarwal trifoldtechniqueforpupilreconstructioninlargenonappositionalirisdefects
AT soosanjacob trifoldtechniqueforpupilreconstructioninlargenonappositionalirisdefects
AT ashvinagarwal trifoldtechniqueforpupilreconstructioninlargenonappositionalirisdefects