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Five-point capsule and iris stabilization using iris retractors for generalized zonular weakness: a retrospective
Emine Çakar1, Saadet Gültekin Irgat2, Alpaslan Koç2
1Department of Ophthalmology, Kütahya Health Sciences University, Kütahya City Hospital, Kütahya, Turkey. dreminecakar2018@gmail.com.
International Ophthalmology
|August 6, 2026
Summary
Five-point capsular stabilization using iris retractors is a safe and effective method for managing cataract surgery in patients with zonular weakness. This technique demonstrated no intraoperative or postoperative complications in a recent study.
Area of Science:
- Ophthalmology
- Surgical Techniques
Background:
- Cataract surgery in patients with zonular weakness poses significant challenges.
- Standard techniques may lead to increased intraoperative and postoperative complications.
- Capsular bag stabilization using iris hooks is a known risk mitigation strategy.
Purpose of the Study:
- To evaluate the safety and efficacy of five-point capsular stabilization during phacoemulsification.
- To assess this technique in patients with generalized zonular weakness.
Main Methods:
- Retrospective analysis of 16 eyes from 14 patients with pseudoexfoliation-related zonular weakness.
- Phacoemulsification with five-point capsule and iris hook stabilization was performed.
- Patients were treated at Kütahya City Hospital.
Main Results:
- All surgeries were successfully completed without intraoperative complications.
- Adequate capsular stabilization was achieved with the five-point configuration.
- No clinically significant postoperative complications were observed in follow-up patients.
Conclusions:
- Five-point capsular stabilization is a safe and feasible technique for cataract surgery in eyes with pseudoexfoliation syndrome and zonular weakness.
- The additional retractor may reduce anterior tenting and aid intraoperative maneuvers.
- Further comparative studies are needed to validate advantages over existing methods.
