Microhook capsule stabilization for phacoemulsification in eyes with pseudoexfoliation-syndrome-induced lens instability

Cataract extraction in eyes with pseudoexfoliation syndrome is known to res ult in a high incidence of intraoperative and postoperative complications. Lens instability - phacodonesis - is often present and may lead to zonular rupture, capsule tears, and vitreous loss. We describe the use of microhook iris retractors to stretch and fixate the capsulorhexis relative to the sc lera, which stabilizes the capsular bag and facilitates safe phacoemulsific ation in eyes wit pseudoexfoliation-syndrome-induced lens instability. Resu lts of this technique in 8 eyes are reported. J Cataract Refract Surg 1999; 25:1567-1570 (C) 1999 ASCRS and ESCRS.