Fig. 1

Intraoperative photographs of the iridopexy of an autologous iris in iatrogenic total iridodialysis. a A complete iris defect with remaining lens cortex, a ruptured posterior capsule of the lens with a radial tear and an intraocular lens (IOL) implanted in the sulcus position were observed. b A toric axis marker was used to indicate the fixation axis. c After scleral flaps were prepared in 2 positions 180° apart, a 10–0 Prolene suture was passed through the bed of half-thickness scleral flaps 2.0 mm posterior to the limbus. d Implanted IOL was repositioned using transscleral fixation using an ab externo method. e Pars plana vitrectomy was performed to remove the remaining lens cortex material and vitreous fiber anterior to the equator. f The transferred iris was examined and showed no signs of necrosis. g The iris was spread out; the wider part of the iris was located inferiorly. h, i A 10–0 Prolene suture was consecutively passed through the iris and sclera. j, k Using an iris spatula and ocular viscoelastic devices (OVDs), the iris was inserted into the anterior chamber completely. l-o Four more iridopexies were performed. p The remaining vitreous, OVDs, and dispersed iris pigments were removed using a vitreous cutter