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CataractCoach™ 1879: small pupil, synechiae, and dense cataract

These types of cases where there is a small pupil due to posterior synechiae can be challenging. We must first lyse the synechiae by gently separating the iris from the anterior lens capsule. The pupil must then be enlarged by pupil stretching and in this case, using micro-scissors to perform small sphincterotomies. The patient will likely have more inflammation in the post-op period and there is a chance of reigniting the dormant uveitis. This case is beautifully performed and has been edited to maximize your learning in just 5 minutes.