DR.NEHA SHILPY, Dr.Mathew Kurian
We present two different scenarios of ocular trauma with traumatic cataract and varying degrees of iris damage and their management. One was an anteriorly subluxated cataract with 180 degrees of iridodialysis, where an intracapsular cataract extraction and anterior vitrectomy was done. The iridodialysis was repaired by suturing the iris to the posterior lip of the sclerocorneal tunnel and continued on to the Hoffman’s pocket. The scleral fixated IOL was fixed through 2 Hoffman’s pockets, one of which had also been used to fix the iridodialysis. In the other case with anterior capsular rupture, cataract, posterior synechiae and iridodialysis, the phacoemulsification and PCIOL implantation was relatively easy but, additional care to protect the posterior capsule during iris repair would have prevented iatrogenic posterior capsular rupture with the suture needle. This emphasizes the caution required in this type of surgery. Ultimately both patients had good visual and cosmetic outcomes.