By Manuel Domingues, MD
    Video Journal of Cataract & Refractive Surgery
    Cataract/Anterior Segment

    Faced with a white traumatic cataract with almost total iridodialysis, Dr. Manuel Domingues begins by making 5 scleral incisions and proceeds to reapproximate the iris root to the scleral wall using straight needles to thread 10-0 polypropylene sutures. After phacoemulsification, he again uses 10-0 polypropylene sutures with a Siepser sliding knot technique to create a smaller, rounder pupil. At 1 month postop, the patient had a 4mm centered pupil that was somewhat reactive with a BCVA of 10/10.