For a case like this, there is no need for a pupil expansion ring or iris hooks. These devices can be helpful in cases of very small pupils, but in a case like this where the pupil is more reasonable, we can do the complete cataract surgery without them. This case is particularly challenging because the patient is 90 years old (and we have discussed nonagenarians before) and he takes Flomax (tamsulosin) which leads to IFIS / floppy iris syndrome.
There are many great pearls in the video and I encourage you to learn them all. The entire case is shown here, from start to finish, but it is still relatively brief.
Click below to learn how to do cataract surgery in this case without rings or hooks: