Anterior segment reconstruction in an eye with an opaque cornea and dense cataract is one of the most complex procedures in ophthalmology. The surgery begins with a penetrating keratoplasty. Once the diseased corneal button is removed, you finally have an open sky view of the internal structures. First, you perform iridoplasty to lyse extensive synechiae and restore the iris plane. This is followed by the cataract removal, which must be done with extreme care to manage the lack of posterior pressure support. After the lens is extracted, a stable intraocular lens is placed in the sulcus. The final step is the pupilloplasty, where you use fine sutures to create a central, regular pupil. This reconstruction of the iris helps minimize future glare and improves the quality of vision. By following this systematic approach, you rebuild the eye from the inside out, providing a chance for visual recovery in a previously blind eye. This is a truly amazing case!
Experience the pinnacle of ophthalmic innovation in the heart of Bangalore from July 24–26, 2026. Join me at His Master’s Voice which brings together the brightest minds in surgery for three days of high-impact learning. Proudly sponsored by the Narayana Nethralaya Eye Foundation, it is your chance to master cutting-edge techniques and elevate your surgical outcomes. Don’t miss this opportunity to network with world-class experts and transform your practice in one of India’s most vibrant cities. I will see you there! Register here: https://nneyefoundation.org/hmv2026-reg/
