Triplex surgery for chronic uveitis

  Chronic uveitis is an autoimmune disease that is often recurrent and persistent, thus inducing a variety of complications, the most common of which is concurrent cataract combined with post-iris adhesions in the pupil area, or even pupil membrane closure or atresia, and sometimes involving the corneal lid area to form corneal banding degeneration. Because of corneal opacity, small pupil and posterior adhesions, preoperative dilating agents cannot dilate the pupil, making this type of cataract surgery very difficult, and surgery is performed in multiple sessions, resulting in many complications and poor results, and many patients give up treatment.  For this complicated condition, our cataract department has successfully cured many complicated cases of chronic uveitis complicated by cataract and corneal banding degeneration using the triple surgery of corneal banding degeneration scraping + pupilloplasty + ultrasound emulsification + IOL implantation, and has achieved promising results.  The surgery removed the degenerative tissue on the corneal surface, pupil dilating hooks separated the posterior pupillary adhesions, and at the same time completely removed the cataract, which not only improved the patient’s vision significantly, but also improved the patient’s eye appearance.