Phacoemulsification using 8 flexible iris hooks in a patient with a short eye, small pupil, and phacodonesis.

Abstract

UNLABELLED:

We describe a technique that uses flexible iris hooks to dilate and stabilize the capsular bag in a patient with a very deep set and small eye, narrow palpebral fissure, shallow anterior chamber, and very small pupil, who was scheduled for routine phacoemulsification for a white cataract. At the time of iris hook placement, the capsular bag was noted to be markedly unstable. The patient was managed successfully with phacoemulsification of the lens using 4 iris hooks to dilate the pupil and 4 iris hooks to stabilize the capsular bag during surgery. A foldable posterior chamber 3-piece intraocular lens was fixated in the ciliary sulcus.

FINANCIAL DISCLOSURE:

Neither author has a financial or proprietary interest in any material or method mentioned.

• Authors: Nikolaos Kopsachilis, Gianluca Carifi
• Journal: Journal of cataract and refractive surgery (J Cataract Refract Surg) Vol. 40 Issue 9 Pg. 1408-11 (Sep 2014) ISSN: 1873-4502 [Electronic] United States
• PMID: 25135530 (Publication Type: Case Reports, Journal Article)
• Copyright: Copyright © 2014. Published by Elsevier Inc.

Topics

• Eye Abnormalities (surgery)
• Humans
• Lens Diseases (surgery)
• Lens Implantation, Intraocular
• Male
• Middle Aged
• Ophthalmology (instrumentation)
• Phacoemulsification (instrumentation, methods)
• Pupil
• Visual Acuity