Video Journal of Cataract & Refractive Surgery
    Cataract/Anterior Segment

    Dr. Sam Masket presents the case of a 70-year-old woman with a fixed, dilated pupil and very thin iris following 2 surgeries for narrow-angle glaucoma. Following femtosecond laser-assisted phacoemulsification for her cataract, the endothelium cells are removed and a capsular tension ring and acrylic lens are placed in the bag. A fiber-free, custom HumanOptics iris prosthesis is injected into the bag under protective OVD. The prosthetic is then gently unfolded and manipulated under the anterior capsulotomy, which is easily visualized with trypan blue. The OVD is removed, and because of the filtering blebs, a 10-0 nylon suture is placed at the corneal incision. By 1 year postop, the patient’s vision returned to 20/20 with no glare.