Success with Investigational Iris Devices

Dr. Kenneth J. Rosenthal manages 2 patients with serious iris damage caused during cataract surgery. In the first case, the patient had accidental expulsion of her iris during phaco, yet the capsular bag was intact and a stable IOL in place. Following hyperinflation of the capsular bag with Healon 5, a non-FDA approved 3-part Ophtec device is placed in the bag. Though unsecured, the device is stable and provides a positive outcome for the patient. In case 2, a large iridodialysis is managed with careful suturing of the remaining viable iris tissue using double-armed polypropylene suture. The nonviable tissue is excised, and an Ophtec iris reconstruction device (part of a clinical trial) is inserted and fixated to the sclera.