Price Modification to Siepser Slipping Suture Technique for Iris Repair With Endothelial Keratoplasty

Tuesday, April 29, 2014: 8:46 AM
Room 152 (Boston Convention and Exhibition Center)
Evan D. Schoenberg, MD, Price Vision Group, Indianapolis, IN, USA
Francis W. Price Jr, MD, Price Vision Group, Indianapolis, Indiana, USA

Narrative Responses:

Purpose
To describe a technique for closed chamber iris repair that minimizes or prevents knot and suture tail exposure on anterior iris.

Methods
A surgical technique is presented along with its historical context and diagrams illustrating the procedure.

Results
Successful combined iridoplasty and DMEK, avoiding knot and suture tails in the anterior chamber postoperatively.

Conclusion
This modification to the Siepser slipping knot technique is recommended when an endothelial keratoplasty is planned concurrent with or subsequent to iris repair to protect donor endothelium from mechanical suture damage.