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Iris mattress suture: a technique for sectoral iris defect repair
  1. Sean W Tsao1,
  2. Huck A Holz2
  1. 1Department of Ophthalmology and Visual Sciences, Montefiore Medical Center, Bronx, New York, USA
  2. 2Department of Ophthalmology, Santa Clara Kaiser Permanente, Santa Clara, California, USA
  1. Correspondence to Dr Huck A Holz, Department of Ophthalmology, Santa Clara Kaiser Permanente, Santa Clara, CA, USA; Huck.Holz{at}


Achieving a cosmetic and functional outcome from iris defect repair is a surgical challenge. We describe an adaptation of techniques to address a case of 2.5 clock hours of sectoral iris tissue defect. Our method combines Siepser's modified closed-chamber sliding knot technique with the placement of a double-armed iris mattress suture to approximate iris tissue to the scleral wall and thereby create a pseudo-iris root. This technique reduces glare and achieves a cosmetic outcome for the patient.

  • Iris
  • Cornea
  • Anterior chamber

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