How to: Challenging Uveitic Cataract

This patient has a long standing uveitis which is currently under control as well as uveitic glaucoma which required placement of a glaucoma shunt. Now the vision has declined to counting fingers due to the cataract and surgery will be needed. How do you address the issues of this case? The uveitis is currently controlled, but what can we do to prevent a flare-up in the post-op period? How do we resolve the extensive posterior synechiae? Can the pupil be expanding without using iris hooks or a pupil ring? And what about the glaucoma shunt which seems to be less effective than before? The patient now requires three topical drops to control the pressure. And can this case be done by a resident surgeon in training with supervision by a more experienced surgeon?

Click below to learn great pearls from from this challenging case:

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