Due to poor air quality related to fires in California, the Academy’s San Francisco offices will be closed Friday, Nov. 16. Member support staff will not be available by phone and responses to emails may be delayed.

    By Daniel J. Pierre, MD
    Annual Meeting 2011
    Cataract/Anterior Segment

    This video describes an elderly patient with idiopathic recurrent necrotizing scleritis OU who presents with diffuse, severe scleral thinning without intraocular inflammation, diffuse synechiae, and a mature cataract. During cataract removal, a spike in IOP induced globe rupture along the weakened superior limbus, expelling the lens and capsule from the wound. The hyaloid face was intact and the wound closed primarily. Four days later, an anterior chamber IOL was placed with meticulous wound revision.