Managing A Membranous Cataract

Dr. Ramesh Rajasekaran presents a tricky case of a membranous cataract in an 18-month-old child with esotropia, nystagmus, and bilateral congenital cataract due to congenital rubella syndrome. Surgery had been postponed at various centers due to pupillary rigidity, and after atropine failed to successfully dilate the pupil, Dr. Rajasekaran places iris hooks. Phacoaspiration of the membranous cataract exposes the thick plaque adhered to the posterior capsule. After cutting the plaque, the physician performs a posterior capsulorhexis and inserts a single-piece foldable IOL.