This patient has a complex history: a 58-year-old woman with a history of severe non-infectious panuveitis, presenting with a non-dilating pupil due to seclusio pupillae (360º posterior synechiae) and a pupillary membrane. Dissection of the synechiae and pupillary membrane was possible through the pre-existing superior iridotomy. Mydriasis was augmented by pupil stretching and the cataract was approached using a stop and chop technique. Finally, a dexamethasone intravitreal implant was injected to minimize post-operative inflammation. Truly a great outcome for this very challenging case. How would you approach this case? Comment below.
Excellent case