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    Iatrogenic Iridodialysis

    By Athiya Agarwal, MD
    Video Journal of Cataract and Refractive Surgery
    Cataract/Anterior Segment

    This patient presents with a subluxated cataract and iridodialysis due to trauma. After suturing the iris back in place, Dr. Agarwal proceeds with phacoemulsification. As she makes the capsulorhexis, the vitreous prolapses, requiring vitrectomy. As she again proceeds with phaco, the iris is drawn into the phaco probe, creating a near complete iridodialysis. She continues phaco cautiously, but a nuclear fragment falls into the vitreous, requiring an anterior vitrectomy. The iris is then excised and an aniridia IOL is implanted using the glued IOL technique.