Abstract

A 40 yrs one eyed male presented with increased floaters in the left eye ; miotic non dilating pupil , ectopia lentis making indirect ophthalmoscopy impossible. Diagnosed on widefield image to have a superior retinal detachment . Underwent 23g vitrectomy , iris dilation using IRIS hooks alongwith lensectomy . Hooks removed before FAE , the errant iris draped down into the vitreous cavity obscuring the view . Partial pupilloplasty was done and the retina settled with gas tamponade . In the postop period the errant IRIS got plastered to the cornea with a partial gas fill alongwith high IOP of > 40mmHg not responding to IOP lowering treatment . We thought out of the box to separate the errant iris from the cornea only to find it fall back again like a curtain, though the innovative procedure led to lowering of IOP . The patient has a well attached retina. The visual acuity increased from 20/400 to 20/80 . The errant iris seems to be flapping in the anterior chamber with IOP of 14mmHg .