This is the maximum pharmacologic dilation of about 4mm and the patient is noted to be taking tamsulosin (Flomax) for urinary flow issues. In this situation would you elect to use a pupil expansion ring, iris hooks, or nothing extra? What would be your preferred technique? Keep in mind that the goal of surgery is to provide the best and safest result for the patient and surgeons have varying skills and comfort levels with different clinical scenarios. Enter your comment below and then watch the video.
click to learn from this complete cataract case and see what I choose to do:
7.0 Malyugin Ring
I would like to use iris hooks
6.25 V2 ring
I don’t think pupil expansion ring would be of any benefit.I would try supra capsular phaco without any device first.if I felt I had to than I would prefer iris hooks
Small pupil and soft cataract I would proceed as you, without any iris gadget.