Abstract

A 60-year-old woman had an uncomplicated phacoemulsification cataract extraction with posterior chamber intraocular lens implantation in the right eye using a temporal clear corneal incision. There was no history of ocular trauma following surgery. Uncorrected visual acuity was 6/12 on first postoperative day with 10mmHg intraocular pressure by I-care in right eye. Anterior chamber was shallow with iris incarceration at 9 o clock corresponding to the temporal clear corneal incision. B scan ultrasonography was within normal limits. After informing the patient, decision was made to reposit the iris with incision suturing and anterior chamber reformation under local anesthesia, which the patient underwent on the same day. Poor wound apposition is believed to result in postoperative hypotony and iris prolapse predisposing the affected individual to intraocular infection.