VT4 : Single point pivot technique for combined repair of Iridodialysis and Cyclodialysis”.

Dr.Shikha Gupta, Dr.HARATHY SELVAN, Dr.Viney Gupta

To the best of our knowledge, the literature lacks techniques to manage concomitant cyclodialysis and iridodialysis simultaneously. A 34 year old adult male patient (fire-cracker injury 8 months back) presented with 4-clock hours superior iridodialysis, cyclodialysis and refractory hypotony. After cataract extraction, both the dialyses were repaired using a single suture, pivoted at the same point. Suture after having passed through M-CTR placed in sulcus (for internal cycopexy), was further passed through the detached iris root, and retracted via the ciliary body to be tied over the scleral bed facilitating closure of both the dialyses at the same instance using a common suture. Successful centration of IOL, cleft closure and apposition of iris root to its base were achieved. This technique can significantly reduce long-term suture related complications and provides an easy and effective approach for repair of concurrent iridodialysis and cyclodialysis.