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Advanced Technical IVT

Iris prolapse

Protrusion of iris tissue through a corneal or scleral wound, requiring immediate surgical intervention.

Full Definition

Iris prolapse occurs when iris tissue herniates through a full-thickness wound in the cornea or sclera, most commonly as a complication of ocular surgery or trauma. This condition can lead to irregular pupil shape, increased infection risk, and potential vision loss if not promptly addressed. Immediate management involves gentle repositioning of prolapsed tissue and secure wound closure. In cases where the iris cannot be salvaged, iridectomy may be necessary. Documentation must record the extent of prolapse, viability of prolapsed tissue, and surgical management performed, including any complications during repositioning attempts.

Usage

Usage note: Document timing of prolapse and viability of prolapsed tissue for surgical planning.

In Context

  • "Immediate iris prolapse through the main incision required careful repositioning and additional sutures." — Intraoperative complication
  • "Postoperative iris prolapse was managed with immediate surgical revision and iridectomy." — Emergency revision surgery

Also known as

iris incarceration iris herniation

Contrasted with

normal iris position

Don't confuse with

iris bombé pupillary block

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