JUN 25, 2015
Everything Comes Out!
By Peter Laubichler, MD, Anselm Kampik, MD
Video Journal of Cataract and Refractive Surgery
Cataract/Anterior Segment
Drs. Laubichler and Kampik show how they managed a case of iridodialysis that occurred when they delivered the nucleus through the corneoscleral tunnel incision. First, the cortex is removed completely. After the iris is repositioned using a spatula and held in place with viscoelastics, they open the conjunctiva at the limbus, contralateral to the incision. They then fixate the iris with 3 sutures, with each pass, they come through the corneoscleral tunnel, form a sling from the inside, sealing it with a knot from the outside.