Posted: August 10, 2016
Additional Notes: Length 2:06
The iris cerclage is a useful technique to correct persistent mydriasis due to diffuse iris sphincter dysfunction. It often results in a relatively round pupillary opening and offers excellent control of the final pupil size. This patient previously underwent vitrectomy, lensectomy, and intraocular foreign body removal after he was injured in an explosion. Tiny metallic foreign bodies and areas of rust deposition can still be seen throughout his ocular surface. He had severe photophobia after the injury due to persistent mydriasis. He successfully underwent combined placement of a secondary transscleral-sutured posterior chamber intraocular lens and iris repair using a cerclage technique.