Traumatic Cataract with Mydriasis: Part 2 Pupilloplasty

This patient suffered severe trauma as the result of an airbag injury from a car accident about one year ago. He presents to you with a history of chronic mydriasis, an irregular pupil, and a cataract with evidence of extensive zonular loss. This surgical teaching case is so good that we are splitting it into two parts to show here on

This is part 2 which is the pupilloplasty. Part 1 was the cataract surgery with capsular tension ring placement and sulcus IOL with optic capture. Note that this entire case was performed by a senior resident (from our ophthalmology residency training program at the Jules Stein Eye Institute at the UCLA School of Medicine). There was professor guidance throughout the case and everything turned out just great for the patient. This is a type of case that any cataract surgeon can learn to do. Keep in mind that these videos are edited to just a few minutes each but the actual total surgical time was more than one hour.

click below to learn this technique of pupilloplasty for traumatic mydriasis:

1 Comment

  1. First of all thank you for all your great videos and the tremendous effort you put in DAILY to help colleagues all over the world!!! I am a big fan of yours and check-in regularly to learn from your great expertise! I am from Brazil, and would love to get to know your practice in LA if possible. It didn’t become clear to me how the knot is made, 4 loops from de loose ends into de non-loose end?? Could you help me please, draw it out or refer me to antoher video which shows the knot positioning? Thanks again!

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