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

Cataract extraction in eyes with pseudoexfoliation syndrome is known to result 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 sclera, which stabilizes the capsular bag and facilitates safe phacoemulsification in eyes with pseudoexfoliation-syndrome-induced lens instability. Results of this technique in 8 eyes are reported.