Iris Repair (Iridoplasty) Using the Siepser Sliding Knot

Abstract

The patient should be fully informed of the various options available for the repair of iris defects: coloboma, cycloplegia, and traumatic deformation of the iris. A review of the potential for multiple surgeries is to be presented due to the possible need for progressive iris stretch and the alternative of an artificial iris placement. Discussion regarding a detailed history of disability and interference with the activities of daily living is warranted, as is a descriptive comment about any glare disability, visual handicap and light intolerance. Chronicle these conversations along with proper photographic documentation. The patient, any caregivers or decision-makers, and stakeholders in the surgical outcome should participate in the counseling process.