We describe a method to enlarge an initial small capsulorhexis using a
n iris spatula and cystotome needle. The iris spatula is placed undern
eath the anterior capsulorhexis margin; the spatula supports the anter
ior capsule and protects the posterior capsule. A gentle touch on the
spatula by the cystotome needle generates a break in the continuity. T
his is done prior to intraocular lens implantation with the capsular b
ag and anterior chamber filled with viscoelastic.