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Iridectomy

From Wikipedia, the free encyclopedia
(Redirected fromCorectomy)
Surgical removal of part of the iris
Medical intervention
Iridectomy
Large peripheral iridectomy deforms pupil
Other namesSurgical iridectomy
ICD-9-CM12.1
MeSHD032801

Aniridectomy, also known as asurgical iridectomy orcorectomy,[1] is thesurgical removal of part of theiris.[2][1] These procedures are most frequently performed in the treatment ofclosed-angle glaucoma and irismelanoma.[1]

Comparison with Nd:YAG laser iridotomy

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Ancient Hindu and modern iridectomy knives

Inacute angle-closure glaucoma cases, surgical iridectomy has been superseded byNd:YAG laseriridotomy, because the laser procedure is much safer. Opening the globe for a surgical iridectomy in a patient with highintraocular pressure greatly increases the risk ofsuprachoroidal hemorrhage, with potential for associatedexpulsive hemorrhage. Nd:YAG laser iridotomy avoids such a catastrophe by using a laser to create a hole in the iris, which facilitates flow ofaqueous humor from the posterior to theanterior chamber of the eye.[3]

Current indications

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Surgical iridectomy is commonly indicated and performed in the following cases:[citation needed]

  • Cataract surgery in a glaucoma patient
  • Combined procedure for cataract and glaucoma
  • Acute closed-angle glaucoma
  • Posterior capsular tears with vitreous loss
  • Implantation of anterior chamberIOL.
  • Vitreoretinal procedure involving injection ofsilicone oil. The location of the iridectomy in such cases is at 6 o'clock, as opposed to routine iridectomy done at 11 to 1 o'clock. This is because silicone oil is less dense than water.
  • Iris trauma

Types

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  • Anantiphogistic iridectomy is the surgical removal of part of the iris to reduce intraocular pressure in inflammatory conditions of the eye.[2]
  • Abasal iridectomy is an iridectomy which includes the root of the iris.[2]
  • Anoptical iridectomy is the surgical removal of part of the iris to enlarge the existing pupil, or to form an artificial pupil, when the natural pupil is ineffectual.[2]
  • Aperipheral iridectomy is the surgical removal of a portion of the iris in the region of its root, leaving the pupillary margin and sphincter pupillae muscle intact.[2] It is used in the treatment of glaucoma.[1]
  • Apreliminary iridectomy, orpreparatory iridectomy, is the surgical removal of part of the iris precedingcataract extraction.[2] It facilitates the removal of thecataractouslens.[1]
  • Asector iridectomy, also known as acomplete iridectomy ortotal iridectomy, is the surgical removal of a complete radial section of the iris extending from the pupillary margin to the root of the iris.[2] Akey-hole pupil is left by the removal of a wedge-shaped section of iris.[4]
  • Astenopeic iridectomy is the surgical removal of a narrow slit or a minute portion of the iris, leaving the sphincter pupillae muscle intact.[2]
  • Atherapeutic iridectomy is the surgical removal of a portion of the iris for the cure or prevention of an ocular disease.[2]

See also

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References

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  1. ^abcdeSurgery Encyclopedia - "Iridectomy." Encyclopedia of Surgery: A Guide for Patients and Caregivers. Retrieved May 20, 2006.
  2. ^abcdefghiCline D; Hofstetter HW; Griffin JR.Dictionary of Visual Science. 4th ed. Butterworth-Heinemann, Boston 1997.ISBN 0-7506-9895-0
  3. ^Ou, Yvonne (5 July 2021)."Side Effects of Laser Iridotomy".www.brightfocus.org. University of California, San Francisco.Archived from the original on 23 February 2023. Retrieved23 February 2023.
  4. ^Cassin, B. and Solomon, S.Dictionary of Eye Terminology. Gainesville, Florida: Triad Publishing Company, 1990.
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