Hanging Iridodialysis Repair

Dr. Michael Snyder demonstrates repair of an iris using a “hang-back” technique that works best for smaller repairs of 3 o’clock hours or less. Instead of repositioning the iris tightly to the sclera, he suspends the detached peripheral iris by a 10-0 polypropylene suture inside the normal iris insertion. A horizontal mattress suture is placed ab interno and tightened to bring the iris periphery to inside and under the limbus. This technique provides an excellent functional and cosmetic result while minimizing occlusion of the trabecular meshwork.

Dr. Michael Snyder fully describes the technique in the April 2011 issue of Journal of Cataract and Refractive Surgery.