Iridodialysis Repair with a Flanged Prolene Suture

In this 1-Minute Video, Drs. Austin Nakatsuka and Craig Chaya present a technique for repairing a small traumatic iridodialysis with a flanged 6-0 prolene suture. The flange is created by melting the suture with high-temperature cautery and clamping the heated suture material with a hemostat. This forms a flattened "button" that effectively fastens the iris to the adjacent sclera both externally and internally, avoiding the need to make multiple needle passes through the iris. This technique was first described by Drs. Mami Kusaka, Naomi Miyamoto and Masayuki Akimoto in 2019. 

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