Iris Cerclage

Erclage Pupiloplasty – part I

Patient with persistent mydriatic pupil. On this technique, a curved transchamber needle on 10.0 polypropylene is passed in and out of the anterior chamber through 3 limbal paracentesis, 120 degrees distance from each one, openings while weaving the needle through the iris near the pupillary margin to form the cerclage.

Part 2:

Part 3

– Do 2 loops in the first knot to manage the pupil size inside the eye;
– Do the 3rd knot when the pupil has 3.5 to 4 mm. This size allowed retina examination:

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