DEC 07, 2015
White Traumatic Cataract with Total Iridodialysis
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.