How to do a Pupilloplasty to repair an iris defect after cataract surgery? 📸: @drdianelesleywebster Two 1.5mm paracenteses are made. 2% lidocaine 50: 50 BSS to make 1% is given intracamerally. It can be done under topical anaesthetic. 25G micro graspers are used. Use a cannula with cohesive viscoelastic to do viscodissection so there are no attachments to the IOL. Don’t go into the angle because it will bleed and don’t pull strongly on the iris. Be very gentle. Use 10/0 Prolene (polypropylene)