Suturing repair of subtotal iridodialysis

To report a case of subtotal iridodialysis that was repaired using suturing with the assistance of a guide needle.

A 52-year-old man had subtotal iridodialysis of approximately 300° with massive hyphema and vitreous hemorrhage after blunt trauma. The patient was treated with pars plana vitrectomy, and then suturing repair of iridodialysis was performed.

After the surgeries, the ratio of pupil area to corneal area is improved from 82.1 to 42.4%. The visual acuity improved to 30/20, and subjective symptoms of glare and monocular diplopia disappeared. There was no remarkable postoperative complication for up to 12 months.

Suturing repair is useful for subtotal iridodialysis and may be an alternative for an iris implant.