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Alan N. Carlson, MD, presents a multidisciplinary approach toward the repair of severe blunt ocular trauma resulting in a cataract, iridodialysis, and retinal detachment.
Posted: 3/28/2014
Alan N. Carlson, MD, presents a multidisciplinary approach toward the repair of severe blunt ocular trauma resulting in a cataract, iridodialysis, and retinal detachment.
Posted: 3/28/2014
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Clairton De Souza
12 years ago
Agreed with statements from previous posts regarding iridodialysis management (especially with the option of sub-scleral flap suturing). Besides, Posterior segment approach was not sufficiently reported. At least a post-op. fundus picture would be more informative. Nice case, though. Thanks for sharing it with us.
ari weitzner
12 years ago
agreed- risk losing much tm function by suturing iris so anterior- prefer double-armed bites near root and sutured under flap or in a scleral groove 1.5mm back. also, would have placed iris hooks early in the case to make cataract removal easier. but overall very nice case- thanks for posting
SHALABH SINHA
12 years ago
Suturing the iris to wound is not a great idea. Rather have sutured to the sclera at the root, 1.5 mm from the limbus with 10.0 prolene. Hardly swa anything being done for the detachment.