title: Phacoemulsification using 8 flexible iris hooks in a patient with a short eye, small pupil, and phacodonesis.
abstract: 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.
  
  
  BACKGROUND
  Neither author has a financial or proprietary interest in any material or method mentioned.
authors.affiliation: From Moorfields Eye Hospital, London, United Kingdom. Electronic address: nick.kopsachilis@moorfields.nhs.uk.
authors.forename: Nikolaos
authors.initials: N
authors.lastname: Kopsachilis
authors.affiliation: From Moorfields Eye Hospital, London, United Kingdom.
authors.forename: Gianluca
authors.initials: G
authors.lastname: Carifi
mesh_terms: D005124:Eye Abnormalities / Q000601:surgery*; D006801:Humans; D007905:Lens Diseases / Q000601:surgery*; D019654:Lens Implantation, Intraocular; D008297:Male; D008875:Middle Aged; D009885:Ophthalmology / Q000295:instrumentation*; D018918:Phacoemulsification / Q000295:instrumentation / Q000379:methods*; D011680:Pupil; D014792:Visual Acuity