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We describe a novel, simple and minimally invasive surgical technique for the repair of iridodialysis, which can be easily adopted by general ophthalmologists and cataract surgeons. Two eyes underwent this a new approach for iridodialysis repair using a 7-0 polypropylene (Prolene) suture. The 7-0 Prolene suture was used to pin the iris to the sclera, with a double flange resembling a dumbbell, one flange resting on the iris and the other on the sclera. With minimal instruments the technique was completed in a single surgical setting. Postoperative outcomes were favourable in both the cases, with improved visual acuity, near normal pupil contour and no hyphema. The technique was associated with minimal intraoperative time, good cosmetic outcomes and stable intraocular pressure. We conclude that this Dumb-Bell technique is a safe, simple, and efficient method for the repair of iridodialysis. It is minimally invasive with reduced risk of complications and can be readily performed by most ophthalmologists, including those with limited experience in complex iris repairs.
Glaucoma Services, Aravind Eye Hospital, Pondicherry, India.
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