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Results of a novel surgical technique for iridodialysis repair using an iris retractor segment

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Abstract

Purpose

To describe a novel surgical technique for iridodialysis repair using an iris retractor segment and report its clinical results.

Methods

Fifty-three eyes of 53 patients who underwent iridodialysis repair using an iris retractor segment were enrolled in this retrospective study. Data recorded from patient files consisted of age, sex, degree of iridodialysis, surgical techniques, number of segments used, preoperative and postoperative corrected distance visual acuity (CDVA), intraocular pressure (IOP), complications, and follow-up time.

Results

Mean follow-up time was 34.4 months. The subjects included 29 men (54.7%) and 26 women (45.3%), and the mean age was 56.6 ± 14.0 years. According to the degree of iridodialysis, the patients were divided into Group 1 (60°–89°, n = 19) and Group 2 (90°–270°, n = 34). During the iridodialysis repair for Group 1, a single segment was sufficient; however, in Group 2, one segment was used in 18 eyes (52.9%), two segments in 15 eyes (44.1%), and three segments in one eye (2.9%). The pre- and postoperative last control CDVA value in Group 2 was significantly lower than in Group 1. The pre- and postoperative IOPs for Group 2 were significantly higher than Group 1.

Conclusion

Iridodialysis repair using an iris retractor segment is a minimally invasive technique and found to be safe and effective. It will be a good option for patients with large iridodialysis, as it avoids excessive surgical manipulations and prolonged surgical time.

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Availability of data and material

The datasets used and analyzed during the current study are available from the corresponding author on reasonable request.

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Acknowledgments

Muhammed Ilyas, Ph.D., provided assistance with statistics and English-language editing.

Funding

The authors obtained no commercial provider for the investigation, authorship, and broadcasting of the study.

Author information

Authors and Affiliations

  1. Department of Ophthalmology, Batigoz Eye Health Center, 35280, Izmir, Turkey

    Ugur Unsal & Mehmet Soyler

  2. Department of Ophthalmology, Izzet Baysal State Hospital, Koroglu Unitesi, Goz Hastalıkları Klinigi, 14300, Bolu/Merkez, Turkey

    Huri Sabur

Authors
  1. Ugur Unsal
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Contributions

U.U. conceived the idea. U.U. and M.S. performed surgeries, and U.U. collected the data. H.S. analyzed the data, and H.S. wrote the manuscript. U.U., M.S., and H.S. revised the manuscript. All authors approved the final version.

Corresponding author

Correspondence to Huri Sabur.

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Conflict of interest

The authors declare they have no financial conflict of interest related to this article.

Ethics approval and consent to participate

All procedures performed in studies involving human participants were in accordance with the ethical standards of the Faculty of Medicine, Izzet Baysal University/Bolu. All procedures conformed to the tenets of the Declaration of Helsinki. Written informed consent was obtained from all individual participants included in the study.

Consent for participation and publication

The authors declare they have participated in this work, and they have reviewed the final version of the work, believe it represents valid work, and approve it for publication.

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Supplementary Information

Below is the link to the electronic supplementary material.

Online Resource 1. A demonstrative video showing the iridodialysis repair using an iris retractor segment.

Online Resource 2. A demonstrative video showing the iridodialysis repair using multiple iris retractor segments

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Unsal, U., Sabur, H. & Soyler, M. Results of a novel surgical technique for iridodialysis repair using an iris retractor segment. Int Ophthalmol 42, 219–227 (2022). https://doi.org/10.1007/s10792-021-02016-4

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  • DOI: https://doi.org/10.1007/s10792-021-02016-4

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