This patient sustained ocular trauma which resulted in aphakia without capsular support and chronic mydriasis. Our guest surgeon does a beautiful job of suturing the IOL to the sclera using 4-point fixation and gore-tex and then he performs a pupilloplasty using the iris cerclage technique. The result is a great functional and cosmetic outcome for this patient. You may be wondering how such a large needle can be used to get a 360 degree purse-string suture — hint: 4 paracenteses spaced 90 degrees apart. Details in the video.
