- Ocular trauma,
- Iridocyclitis, or
- Iritis (inflammation of the eyes).
- A blunt instrument such as a 27-gauge cannula or a spatula is carefully inserted through the gap between the iris and the lens.
- The instrument is then swept sideways to gently break these adhesions and free the iris from the anterior lens capsule. This process is repeated in multiple times and directions until the iris is completely free.
- After the removal of the adhesions, the pupil still remains meiotic.
- Two chopping instruments are then used to hook the pupil margin, and stretch the pupil by pulling it towards the limbus. This gentle slow stretch helps in breaking the fibrotic membranes.
- More viscoelastic is then injected to perform viscomydriasis by pushing the pupil margin close to the angle of the eye.
- A capsulorhexis forceps is then used to peel off the fibrotic membranes from the pupil margin, in a circumferential direction.
- This is performed slowly and gently to prevent damage to the iris.
- Cataract surgery can then be carried out.
- A hysteroscope is inserted, through the vagina, into the uterus.
- The cavity of the uterus is then inflated with liquid, and the uterus visualized on a projected screen.
- The adhesive bonds that have been formed by the scar tissues and adhesions are then cut out for extraction using sharp scissors.
- All synechiolysis procedures are carried out under vision, to avoid damage to healthy endometrium in the process.
What is the synechiolysis definition?
Synechiolysis is a surgical technique carried out for the correction of synechiae.
What Is Uterine Synechiolysis?
Uterine synechiolysis is the division of the scar tissues or adhesions that form inside the cavity of the uterus. This synechiolysis procedure is, however, performed hysteroscopically.
What is uterine synechiae?
The coming together of scar tissue and adhesions for a formation inside the cavity of the uterus.