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Updated: Jun 28, 2025

Iris Fixation via External Pentagram Suturing
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Late iris cerclage suture cheese-wiring.

Malik S Ladki1, Michael E Snyder

  • 1From the University of Texas Medical Branch at Galveston, School of Medicine, Galveston, Texas (Ladki); Cincinnati Eye Institute, Cincinnati, Ohio (Ladki, Snyder); University of Cincinnati School of Medicine, Cincinnati, Ohio (Snyder).

Journal of Cataract and Refractive Surgery
|April 10, 2024
PubMed
Summary
This summary is machine-generated.

Late cheese-wiring of iris cerclage sutures can occur, leading to the loss of surgical benefits and the return of preoperative symptoms like mydriasis. This complication should be considered when choosing iris repair methods.

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Area of Science:

  • Ophthalmology
  • Ophthalmic Surgery

Background:

  • Iris repair procedures aim to restore ocular function and aesthetics.
  • Iris cerclage is one surgical technique used for iris repair.

Purpose of the Study:

  • To describe a case series of iris cerclage failures.
  • To investigate late cheese-wiring of cerclage sutures as a cause of failure.

Main Methods:

  • Retrospective single-surgeon case series.
  • Chart review of patients who underwent iris cerclage.
  • Analysis of patient symptoms, demographics, and surgical details.

Main Results:

  • Identified 6 cases of cerclage suture cheese-wiring.
  • Cheese-wiring resulted in loss of surgical benefit and return of mydriasis.
  • All cases used 10-0 polypropylene suture with a 3-1-1 knot.

Conclusions:

  • Late cheese-wiring is a potential long-term complication of iris cerclage.
  • This complication can lead to the return of preoperative symptoms.
  • Awareness aids in selecting appropriate iris repair strategies.