We describe a 52-year-old man with pseudophakia and traumatic mydriasis who presented with severe glare.
Methods
A modification of the Siepser sliding knot technique—single pass, single suture technique-allows the surgeon to create a locking knot at the extraocular space while maintaining a closed chamber, a safer and easier method for traumatic mydriasis repair.
Results
A reduction of pupil size from 8.0×7.8 mm to 5.5 mm was noted. The patient's complaint of glare was relieved and the glare acuity was 20/40 at 6 months follow-up.
Conclusions
We present a new, simpler application of the Siepser slipknot which can be used successfully for repair of traumatic mydriasis.
