title: Modified technique using flexible iris retractors in clear corneal cataract surgery.
abstract: Flexible nylon iris retractors are a useful adjunct to cataract surgery in cases of small pupil. We present a modification of the standard technique. Instead of approaching the square-shaped pupil formed by iris retractors from the side, we recommend an approach anterior to 1 of the retractor hooks. From the surgeon's viewpoint, the pupil goes from a square shape to a diamond shape. This modification minimizes the likelihood of iris prolapse and iris damage during phacoemulsification and increases the workspace for the phacoemulsification needle.
authors.affiliation: Department of Ophthalmology and Visual Sciences, University of Iowa, Iowa City, Iowa 52242-1091, USA.
authors.forename: Thomas A
authors.initials: TA
authors.lastname: Oetting
authors.forename: Luis C
authors.initials: LC
authors.lastname: Omphroy
mesh_terms: D003315:Cornea / Q000601:surgery*; D006801:Humans; D007498:Iris / Q000601:surgery*; D018918:Phacoemulsification / Q000295:instrumentation* / Q000379:methods*