Eyeworld

EW NEWS & OPINION 13 the pupillary aperture size stretched to 3 or 4 mm may not be possible. My experience after years of treating iris retraction and cycloplegia has demonstrated that it is prudent to wait 6 months after the initial stretch. Additional sutures can then be added to obtain a more physio- logic and cosmetic result. The iris has the ability to stretch over time akin to earlobe enlargement using impressively large hoops. Physio- logic stretching is also practiced by the Ubangi, a tribe that inserts hoops in their lips, exaggerating them to large proportions. The iris can be stretched multiple times, and staging these procedures more care- fully and over time leads to excel- lent results. EW Editors' note: Dr. Siepser has no finan- cial interests related to this article. Contact information Siepser: 610-265-2020, ssiepser@clear-sight.com August 2011 AS PRECISE AS A SWISS TIMEPIECE Ziemer is based in the hometown of many famous Swiss luxury watchmakers. The same commitment to precision is incorporated in the FEMTO LDV Crystal Line. A repetition rate in the megahertz range, low energy and minimal spot sizes enable you to provide a superior treatment and faster recovery times. From Z-LASIK to Advanced Corneal Surgery enable you to provide a superior treatment and faster recovery times. A repetition rate in the megahertz range, low energy and minimal spot sizes The same commitment to precision is incorporated in the FEMTO LDV Crystal Line. Ziemer is based in the hometown of many famous Swiss luxury watchmakers. AS PRECISE enable you to provide a superior treatment and faster recovery times. A repetition rate in the megahertz range, low energy and minimal spot sizes The same commitment to precision is incorporated in the FEMTO LDV Crystal Line. Ziemer is based in the hometown of many famous Swiss luxury watchmakers. WISS TIMEPIECE S A S A AS PRECISE enable you to provide a superior treatment and faster recovery times. A repetition rate in the megahertz range, low energy and minimal spot sizes Ziemer is based in the hometown of many famous Swiss luxury watchmakers. WISS TIMEPIECE The same commitment to precision is incorporated in the FEMTO LDV Crystal Line. , CH-2562 Port, Switzerland 1 1 Allmendstrasse Ziemer Ophthalmic Systems AG marketing .ziemergroup.com www , CH-2562 Port, Switzerland Ziemer Ophthalmic Systems AG ziemergroup.com @ marketing .ziemergroup.com The retinal grabber is used to advance iris collarette 360 degrees in a step-wise fashion. The grabber is introduced opposite the area that needs traction, and this can be done multiple times to assure maximum iris traction A CIF-4 needle is used to transect a small bite of the iris at its most anterior edge The two bites are approximated by passing the needle across the anterior chamber and backing it into a cannula to direct the point of the needle out of the eye

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