title: Small pupil phacoemulsification using iris sutures: a new method?
abstract: A case is presented in which an alternative surgical method for managing poorly dilating pupils preoperatively or intraoperatively was employed. The technique uses iris sutures, is simple, safe, easily reproducible, and reversible, and does not require new devices for pupil enlargement. This new surgical method is appropriate for extracapsular cataract extraction and phacoemulsification or posterior segment surgeries, and maintains pupillary appearance and function postoperatively. Although other techniques are generally available, this technique may be useful in unique situations where other pupil devices or methods are not available.
authors.affiliation: Department of Ophthalmology, Federal University of São Paulo, Paulista School of Medicine, São Paulo, Brazil.
authors.forename: Lincoln L
authors.initials: LL
authors.lastname: Freitas
authors.forename: Fabio H
authors.initials: FH
authors.lastname: Casanova
authors.forename: Pedro Paulo
authors.initials: PP
authors.lastname: Bonomo
mesh_terms: D000368:Aged; D006801:Humans; D007498:Iris / Q000601:surgery*; D008297:Male; D015877:Miosis; D018918:Phacoemulsification / Q000379:methods*; D013537:Sutures