Iridodialysis is often an accompanied clinical sign seen in cases with trauma. Occasionally it can be iatrogenic in nature, too. Numerous techniques have been described for the repair of iridodialysis. Mami Kusaka and Masayuki Akimoto from Japan recently described iridodialysis repair by riveting with double-flanged polypropylene sutures. The technique derives its inspiration from the flanged fixation of an IOL described by Shin Yamane.
A 30-gauge needle, a 6-0 Prolene suture and a low temperature cautery are essential to perform this technique. For flange creation, the needle is cut off from
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