This patient has a long history of prior uveitis / anterior iritis which caused synechiae where the iris became adherent to the anterior lens capsule. This resulted in an irregular pupil which did not dilate well due to the development of a membrane at the iris margin. This video shows the technique of carefully peeling off the pupillary membrane while avoiding damage to the iris. And we even show what to do when the membrane just won’t fully peel off. Other great pearls are how to make the capsulorhexis centered over the lens and not just the asymmetrically dilated pupil and how to help quell post-op inflammation.
