Video Journal of Cataract & Refractive Surgery
    Cataract/Anterior Segment

    In this video, Dr. Garry Condon demonstrates his technique for a modified Siepser knot. Following placement of the suture through 2 areas of the pupillary margin, the distal suture portion is retrieved as a loop and pulled through the paracentesis. After gathering the portion coming from the iris, the resulting loop is wrapped twice around the angled tying forceps. The proximal portion is then stabilized by forceps with the other hand while the distal suture segment is pulled, gathering the knot into the anterior chamber. The process is repeated with a single wrapping of the loop around angled tying forceps.