Ferro Desideri, Lorenzo; Arun, Kirupakaran; Doherty, Grace; Bernardi, Enrico; Anguita, Rodrigo (2024). Iris Reconstruction: A Surgeon's Guide. Journal of clinical medicine, 13(9) MDPI 10.3390/jcm13092706
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Objectives: The aim of this review paper is to summarise surgical options available for repairing iris defects at the iris-lens plane, focusing on suturing techniques, iridodialysis repair, and prosthetic iris devices. Methods: A thorough literature search was conducted using multiple databases, including Medline, PubMed, Web of Science Core Collection, and the Cochrane Library, from inception to February 2024. Relevant studies were screened based on predefined criteria, and primary references cited in selected articles were also reviewed. Results: Various surgical techniques were identified for iris defect repair. Suturing methods such as interrupted full-thickness sutures and the McCannel technique offer solutions for smaller defects, while iridodialysis repair techniques address detachment of the iris from the ciliary body. Prosthetic iris devices, including iris-lens diaphragm devices, endocapsular capsular tension ring-based devices, and customizable artificial iris implants, provide options for larger defects, each with its own advantages and limitations. Conclusions: Successful iris reconstruction requires a personalised approach considering factors like defect size, ocular comorbidities, and patient preference. Surgeons must possess a thorough understanding of available techniques and prosthetic devices to achieve optimal outcomes in terms of both visual function and, nonetheless, cosmetic appearance.
Item Type: |
Journal Article (Review Article) |
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Division/Institute: |
04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Ophthalmology |
UniBE Contributor: |
Ferro Desideri, Lorenzo, Bernardi, Enrico, Anguita Henríquez, Rodrigo Andrés |
Subjects: |
600 Technology > 610 Medicine & health |
ISSN: |
2077-0383 |
Publisher: |
MDPI |
Language: |
English |
Submitter: |
Pubmed Import |
Date Deposited: |
13 May 2024 15:59 |
Last Modified: |
13 May 2024 23:47 |
Publisher DOI: |
10.3390/jcm13092706 |
PubMed ID: |
38731235 |
Uncontrolled Keywords: |
iridodialysis repair iris defects iris reconstruction iris surgery prosthetic iris devices |
BORIS DOI: |
10.48350/196709 |
URI: |
https://boris.unibe.ch/id/eprint/196709 |
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