VT3 : One step management of post-traumatic triple dialysis using two rings”.Dr.Shikha Gupta, Dr.HARATHY SELVAN, dr.jyoti shakrawal, Dr.Viney Gupta
Purpose: Patients with concomitant cyclodialysis and iridodialysis along with lenticular subluxation are not uncommon following blunt trauma . To the best of our knowledge, the literature lacks techniques to manage these simultaneously.
Methods: We describe an innovative approach to simultaneously correct lenticular subluxation, iridodialysis and cyclodialysis in a 10 year old patient post a fire-cracker injury. He presented with vision of finger counting close to face and an intraocular pressure of 2 mm Hg. CTR to reinforce zonules, M-CTR sutured with polypropelene for ab-interno fixation of ciliary cleft, and reverse ‘stroke and dock technique’ were used to repair the iridodialysis in succession.
Results: Successful centration of IOL, cleft closure, resolution of hypotony and apposition of iris to its base were achieved.
Conclusions: Simultaneous repair of the triple dialysis can be performed successfully, thus minimizing total number of surgeries and risk of general anaesthesia.
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