This patient sustained blunt trauma a few years ago which resulted in a cataract as well as damage to his iris. In this picture you can see the iris trans-illumination defects in the temporal quadrant as well a fibrotic changes to the iris stroma. How do you approach this case? How can you tell if there is zonular compromise? Do you just do the cataract surgery or do you also attempt to fix the iris?
click to learn from my approach to this traumatic cataract with iris damage: