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Jason Jones MD
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Jason Jones, MD, shares a case of congenital inferior iris coloboma that he repaired at the time of cataract surgery. After breaking the posterior synechiae under viscoelastic, Dr. Jones retracts the iris with hooks. Coloboma cases require extra care, because the ciliary body and zonules may be compromised. After removing the dense nucleus and implanting an IOL, Dr. Jones sutured the iris sphincter to reapproximate the pupil to a more normal position.
Posted: 6/08/2012
Jason Jones MD
Jason Jones, MD, shares a case of congenital inferior iris coloboma that he repaired at the time of cataract surgery. After breaking the posterior synechiae under viscoelastic, Dr. Jones retracts the iris with hooks. Coloboma cases require extra care, because the ciliary body and zonules may be compromised. After removing the dense nucleus and implanting an IOL, Dr. Jones sutured the iris sphincter to reapproximate the pupil to a more normal position.
Posted: 6/08/2012
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Just Now
brahmi pandey
12 years ago
dear sir can you please explain how and where to pass the sutures for repairing the defect.
Claire Jennings
13 years ago
Thankyou, i shall email you tomorrow when i get home. Im on nights at work and have no access to my email account from these computers. Thanks again, Claire
Claire Jennings
13 years ago
Thankyou, i shall email you tomorrow when i get home. Im on nights at work and have no access to my email account from these computers. Thanks again, Claire
Claire Jennings
13 years ago
Dear Dr Jones, I am a sufferer of congenital coloboma, in my left eye (making it look like a cats eye/keyhole shped pupil-worse than madeline mccanns). Please could you get in touch with me? I was always told that there were no operations that could fix the pupil. It has really bothered me all of my life and i'd do anything to have normal eyes! Would it be possible to pm me please? Claire
Claire Jennings
13 years ago
Dear Dr Jones, I am a sufferer of congenital coloboma, in my left eye (making it look like a cats eye/keyhole shped pupil-worse than madeline mccanns). Please could you get in touch with me? I was always told that there were no operations that could fix the pupil. It has really bothered me all of my life and i'd do anything to have normal eyes! Would it be possible to pm me please? Claire
Jason Jones
13 years ago
Claire- I have no way to contact you through this website. My email is jasonjonesmd@mac.com
Mohammed Ziaei
13 years ago
Dr Jone Im a huge fan of your surgery. Please keep posting on youtube. BW
Steven Siepser
13 years ago
Dear Dr. Jones, In my experience repairing the dialysis is important and can sometimes cause dysphotopsia if not addressed. I will go through some of my video's from the 90's when I developed this technique and see what I can find. I have done over 300 cases like this and have learned the hard way that any additional openings besides the pupil can be a problem. Nice job, but always room for improvement! Steven Siepser, MD, FACS Archives of Ophthalmology: Siepser Sliding Knot: 1992
Jason Jones
13 years ago
Steve- Agree there's always room for improvement. In my more modest experience I find pts w/congenital coloboma like this accept the peripheral dialysis better than traumatic defect repair. And I always discuss that additional surgery may be needed. Haven't needed to go back yet but there will be a first. Thanks for your comments! Jason
ari weitzner
13 years ago
this guy is one of my favorite surgeons. his hands are so solid and calm. his voice, too!
Nicholas Pefkaros
13 years ago
Nice job on the coloboma!!!
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