University of Iowa Health Care

Ophthalmology and Visual Sciences

Breaking More Than Synechiae

Thomas A. Oetting, MS, MD; Ed Hu, MD, PhD

This cataract surgery was complicated by central posterior synechiae from the iris to the anterior lens capsule and a small pupil overlying a very dense nucleus. Unfortunately the lysis of the synechiae with hooks resulted in a tear of the anterior capsule. Unfortunately, during the initial phaco even without hydrodissection the lens was loose. We converted to Extra Capsular Cataract Extraction which would have been very difficult with a Malyugin ring in place but was relatively easy with hooks.

Additional Notes: length 7:44

reference: Dupps WJ, Oetting TA, Diamond iris retractor configuration for small-pupil extracapsular or intracapsular cataract surgery, J Cataract Refract Surg. 2004;30(12):2473-5.

last updated: 2008   Share this page: