Dr.Nikhil M Gandhi
A 55 years male patient with previous H/O recurrent Anterior Non-Granulomatous Uveitis was posted for Complicated cataract surgery under local anaesthesia. The posterior synechea was separated with spatula and 5 iris hooks were used to expand the pupil. Rhexis was initiated but was unable to perform due gross phacodonesis and fibrosed anterior capsular tissue. The rhexis was difficult to extend with the Vanna’s scissors as the main port was 2.8 mm. A three planner scleral tunnel was made just below the corneal tunnel 2mm from the limbus. The corneal tunnel was sutured with 10 o nylon to maintain anterior chamber. The capsulotomy was done with the Vanna’s scissors and the cataractous lens was delivered with the irrigating vector. 3 piece IOL was placed in the bag.
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