Surgical Rehabilitation of Complex Panuveitis

This video demonstrates the use of cataract surgery, pars plana vitrectomy and intravitreal steroids for managing a 38-year-old patient with chronic panuveitis and cataract. She presented with light perception vision, nonmydriatic pupils, vitreous exudates and membranes on B-scan. Under steroid cover and iris hook assistance, a dense retropupillary membrane was dissected, followed by phacoemulsification and pars plana vitrectomy with intravitreal triamcinolone. A 3-piece IOL was inserted, with intrascleral haptic fixation due to capsular insufficiency. Post-op binocular visual acuity was 6/18 at 4 months.

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