APR 09, 2021
In this video, Dr. Nurettin Akyol describes secondary pupillary membrane removal and Elschnig pearl aspiration. A 6-year-old juvenile idopathic arteritis (JIA) patient underwent cataract surgery and an IOL was placed in the bag. The patient developed posterior and anterior synechiae within 15 years. First, the anterior adhesion was opened with a spatula. Adhesion in the pupil was opened 360 degrees with microforceps. Next the adhesion between the anterior capsule and IOL was separated by 360 degrees with microforceps. The Elschnig pearls behind the IOL were aspirated. Postoperatively, appropriate pupil opening was provided. Visual acuity reached the level of 0.5.
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