{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T03:06:23Z","timestamp":1790996783893,"version":"4.1.0"},"reference-count":11,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"8","license":[{"start":{"date-parts":[[2025,7,28]],"date-time":"2025-07-28T00:00:00Z","timestamp":1753660800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:p>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.<\/jats:p>","DOI":"10.4103\/ijo.ijo_2885_24","type":"journal-article","created":{"date-parts":[[2025,7,28]],"date-time":"2025-07-28T15:00:11Z","timestamp":1753714811000},"page":"1213-1217","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":3,"title":["Dumbbell technique for iridodialysis repair"],"prefix":"10.4103","volume":"73","author":[{"given":"Anjali","family":"Khadia","sequence":"first","affiliation":[{"name":"Glaucoma Services, Aravind Eye Hospital, Pondicherry, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rengaraj","family":"Venkatesh","sequence":"additional","affiliation":[{"name":"Glaucoma Services, Aravind Eye Hospital, Pondicherry, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fredrick","family":"Moutappa","sequence":"additional","affiliation":[{"name":"Glaucoma Services, Aravind Eye Hospital, Pondicherry, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arpit","family":"Gupta","sequence":"additional","affiliation":[{"name":"Glaucoma Services, Aravind Eye Hospital, Pondicherry, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Swati","family":"Upadhyaya","sequence":"additional","affiliation":[{"name":"Glaucoma Services, Aravind Eye Hospital, Pondicherry, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,7,28]]},"reference":[{"key":"R1-20260421","first-page":"38","article-title":"Management of iridodialysis","volume":"4","author":"Paton","year":"1973","journal-title":"Ophthalmic Surg"},{"key":"R2-20260421","first-page":"317","article-title":"A simple surgical technique for repair of iridodialysis","volume":"39","author":"\u00d6zdek","year":"2009","journal-title":"Turk J Med Sci"},{"key":"R3-20260421","first-page":"93","article-title":"Concerning iridodialysis as a clinical entity, its surgical treatment: Report of cases","volume":"31","author":"Key","year":"1933","journal-title":"Trans Am Ophthalmol Soc"},{"key":"R4-20260421","first-page":"317","article-title":"A simple surgical technique for repair of iridodialysis","volume":"39","author":"\u00d6zdek","year":"2009","journal-title":"Turk J Med Sci"},{"key":"R6-20260421","doi-asserted-by":"crossref","first-page":"331","DOI":"10.1007\/s10792-013-9785-8","article-title":"Iridodialysis repair: Stroke and dock technique","volume":"34","author":"Khokhar","year":"2014","journal-title":"Int Ophthalmol"},{"key":"R7-20260421","doi-asserted-by":"crossref","first-page":"248","DOI":"10.7869\/djo.53","article-title":"Sewing machine technique for iridodialysis repair","volume":"24","author":"Kumar","year":"2014","journal-title":"Delhi J Ophthalmol"},{"key":"R8-20260421","doi-asserted-by":"crossref","first-page":"1531","DOI":"10.1016\/j.jcrs.2019.08.001","article-title":"Repairing iridodialysis by riveting with a double-flanged polypropylene suture","volume":"45","author":"Kusaka","year":"2019","journal-title":"J Cataract Refract Surg"},{"key":"R9-20260421","doi-asserted-by":"crossref","first-page":"251","DOI":"10.1097\/j.jcrs.0000000000000823","article-title":"In-N-Out technique: Double-flanged suture ab interno iridodialysis repair","volume":"48","author":"Rosenberg","year":"2022","journal-title":"J Cataract Refract Surg"},{"key":"R10-20260421","doi-asserted-by":"crossref","first-page":"1084538","DOI":"10.3389\/fmed.2022.1084538","article-title":"Case report: Double-armed flanged polypropylene suture for repairing wide iridodialysis","volume":"9","author":"Peng","year":"2023","journal-title":"Front Med (Lausanne)"},{"key":"R11-20260421","doi-asserted-by":"crossref","first-page":"1136","DOI":"10.1016\/j.ophtha.2017.03.036","article-title":"Flanged intrascleral intraocular lens fixation with double-needle technique","volume":"124","author":"Yamane","year":"2017","journal-title":"Ophthalmology"},{"key":"R12-20260421","doi-asserted-by":"crossref","first-page":"2257","DOI":"10.4103\/IJO.IJO_2879_22","article-title":"A novel transconjunctival, intrascleral, ab-externo, knotless, and double-flanged technique with 6-0 Prolene for iridodialysis repair","volume":"71","author":"Ramakrishnan","year":"2023","journal-title":"Indian J Ophthalmol"}],"container-title":["Indian Journal of Ophthalmology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/IJO.IJO_2885_24","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T16:09:29Z","timestamp":1787760569000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/IJO.IJO_2885_24"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7,28]]},"references-count":11,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/ijo.ijo_2885_24","relation":{},"ISSN":["0301-4738","1998-3689"],"issn-type":[{"value":"0301-4738","type":"print"},{"value":"1998-3689","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,7,28]]},"assertion":[{"value":"2024-12-02","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-06-26","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}