DR. DUDANI AJAY INDUR

Dr. MAYUR MOREKER

Abstract

A 13 year old boy with an HLA B27 positive spondyloarthropathy presented to us with a unilateral fulminant Panuveitis which was controlled with a combination of Oral Prednisolone and Sulphasalazine , Subcutaneous Methotrexate, Intravenous Infliximab, Sub-Tenon’s Triamcinolone and topical Prednisolone to achieve a control of inflammation on treatment.

He developed a complicated cataract with a severe hypotony secondary to cyclitic membranes; with a possible chance of induction of a phthisical change with a routine cataract surgery; necessitating a posterior segment approach to the cataract. This was done under immunomodulatory cover to achieve good control of inflammation.

This video highlights the technique for such a posterior approach including a Lensectomy with Vitrectomy with Silicon Oil Insertion and Posterior Chamber Intraocular Lens in such eyes after a careful UltraBioMicroscopic and UltraSound analysis of the eye.