This older patient was born with a congenital inferior iris coloboma. Cataract surgery was routine and the coloboma was restructured with an iridoplasty and suture approximation of the pupil. This patient had an excellent outcome. The repair of the iris defect highlights the need to release the affected iris tissue from the angle to allow the reapproximated pupile margin to migrate more centrally. A sliding knot is demonstrated. Video by Jason Jones, MD.
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