title: Modified flexible iris retractor to retract superior iris and support inferior capsule in eyes with iris coloboma and inferior zonular deficiency.
abstract: Flexible nylon iris retractors are a useful adjunct to cataract surgery in cases of small pupil and subluxated lenses. A modification is presented of the standard application of iris hooks to retract the superior iris and support the inferior capsule during phacoemulsification in cases of iris coloboma with inferior zonular deficiency. Three iris hooks are applied to retract the iris, and 2 iris hooks are applied to the inferior capsule margin to support the crystalline lens in that quadrant. Clear corneal temporal phacoemulsification is then performed with adequate pupillary diameter and capsular support.
authors.affiliation: R. P. Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India. sethi2211@yahoo.com
authors.forename: Harinder Singh
authors.initials: HS
authors.lastname: Sethi
authors.forename: Ankur
authors.initials: A
authors.lastname: Sinha
authors.forename: Nikhil
authors.initials: N
authors.lastname: Pal
authors.forename: Rohit
authors.initials: R
authors.lastname: Saxena
mesh_terms: D003103:Coloboma / Q000150:complications*; D006801:Humans; D007498:Iris / Q000002:abnormalities* / Q000601:surgery; D007903:Lens Capsule, Crystalline / Q000601:surgery*; D019654:Lens Implantation, Intraocular; D007908:Lens, Crystalline / Q000002:abnormalities*; D008022:Ligaments / Q000002:abnormalities*; D018918:Phacoemulsification / Q000295:instrumentation / Q000379:methods*