APPLICATION OF IRIS HOOKS FOR LENS CAPSULE STABILIZATION IN A CASE OF SEVERE PHACODONESIS

Phacoemulsification in patients with severe phacodonesis due to hypermature cataracts poses significant risks, primarily due to zonular instability and increased risk of lens capsule dislocation. This case examines the effectiveness of using iris hooks as a means of stabilizing the lens capsule, aiming to improve the safety and efficacy of the procedure.

The procedure was performed at the Ophthalmology Department of a tertiary care hospital specializing in advanced cataract surgery techniques.

We present a case of a patient with hypermature cataract and significant phacodonesis. After the capsulorhexis stage, four iris hooks were placed in a diametric configuration to support the lens capsule.

The application of iris hooks allowed for successful stabilization of the lens capsule throughout the procedure. This significantly facilitated surgical maneuvers, reducing the risk of capsule dislocation. The procedure was completed without complications, with smooth cataract removal and successful intraocular lens implantation.

The application of iris hooks for lens capsule stabilization proved highly effective in cases of severe phacodonesis. This technique offers increased control during phacoemulsification, thus reducing the risk of intraoperative complications. The use of iris hooks for lens capsule stabilization represents a promising technique, enhancing the safety of the procedure and providing a valuable tool in the ophthalmic surgeon's arsenal for the surgical management of hypermature cataracts combined with severe phacodonesis.