2958: pseudophakic pupillary membrane
How would you resolve this tough case of a dense, fibrotic pupillary membrane in a pseudophakic patient? In this video, our guest surgeon tackles a highly complex anterior segment challenge where a thick inflammatory membrane completely blocks the pupil, severely impacting the patient’s visual axis. Managing a tough case like this requires a careful, strategic approach. The surgeon must safely dissect and peel the dense membrane away from the underlying intraocular lens optic without damaging the IOL surface, disrupting the capsular bag, or causing severe iris trauma. The video highlights vital pearls for surgical planning, including instrument choice, the use of viscoelastics for viscodissection, and precise intraocular scissors and forceps maneuvers to completely clear the visual axis. Watch the full surgical video to master these advanced anterior segment reconstruction techniques and learn how to restore pristine visual acuity.
