A 36-year-old man presented with a history of redness and pain since two years and decreased vision since one year. Examination showed a total cataract in the right eye, with 360 degrees posterior synechiae. Investigations showed HLA-B 27 was positive. After the inflammation subsided, the patient underwent cataract surgery with synechiolysis. Postoperatively, there was increased anterior chamber inflammation, which was treated with oral and topical steroids. The patient regained visual acuity of 20/25; 3 months postoperatively and is on maintenance with oral methotrexate and topical steroids. (a, b) Diffuse and slit photograph of the right eye on the first postoperative day shows a membrane on the IOL which responded to intensive topical steroids and cycloplegics.
