Combined panretinal photocoagulation and cataract surgery in a patient with diabetes mellitus

A case is presented whereby a simple method of applying indirect laser during cataract surgery in the presence of retinal and iris neovascularization is described. The method involves placing an infusion cannula into the anterior chamber following standard phacoemulsification and soft lens matter removal. The main section is then sutured and indirect laser is delivered to the far retinal periphery with gentle manipulation of the eye. Successful delivery of indirect panretinal photocoagulation despite inadvertent vitreous loss in this case demonstrates the advantages of its use. Other advantages, including its use in previously vitrectomized eyes and allowing manipulation/indentation of the eye, control of bleeding, and better visualization, are discussed.