Dr. NIVEAN M.

, Dr. PRATHEEBA DEVI NIVEAN, Dr. SUJATHA MOHAN, Dr.AYSHA P.A.P

Abstract

A 60 year old male patient presented to us with vision of HM+ in right eye with an iris claw IOL in situ, vitreous haemorrhage and superior iridodialysis post cataract surgery. we planned to do PPV with IOL exchange and SFT for repair of iridodialysis in a single sitting.

Unclipping of the claw IOL which was a challenge in itself and its explantation. Vitreous hge was cleared after inducing PVD. A glued IOL was then implanted The last challenge was to repair the iris and we used the technique of Single Pass Four Throw Pupilloplasty with 10-0 proline suture. The scleral flaps and the conjunctiva were apposed using fibrin glue.

At one month post-operative visit, the patient had vision of 6/12 un-aided, a clear cornea, round pupil, stable IOL and a normal fundus.

A challenging case such as this one can be managed effectively with appropriate pre-operative planning and using various techniques to give the patient excellent results.