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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Format: | Article |
Language: | English |
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Wolters Kluwer Medknow Publications
2025-01-01
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Series: | Indian Journal of Ophthalmology |
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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 |
work_keys_str_mv | AT dhivyaashokkumar trifoldtechniqueforpupilreconstructioninlargenonappositionalirisdefects AT amaragarwal trifoldtechniqueforpupilreconstructioninlargenonappositionalirisdefects AT soosanjacob trifoldtechniqueforpupilreconstructioninlargenonappositionalirisdefects AT ashvinagarwal trifoldtechniqueforpupilreconstructioninlargenonappositionalirisdefects |