This patient had a paint ball injury many years ago and developed 2 distinct areas of posterior synechiae with a white fibrous area and a wrinkled capsule. The vision had decreased and was causing visual dysfunction. The white fibrous area seemed to be anterior to the anterior capsule but with trypan blue staining during the surgery it was clear that the white fibrous lesion was posterior to the anterior capsule. The synechiae were lysed and Dr Gandhi was able to get the rhexis around the fibrous region and form a continuous capsulotomy.
Additional Notes: 4:24