Fig. 24. Management of intraocular miosis has been facilitated by the advent of iris retractors. A. Four stab incisions are made into the anterior chamber. B. A flexible 5-0 nylon suture is inserted and hooked over the pupil. A silicone sleeve is cinched down over the suture (arrow) causing retraction of the pupil. C. Final appearance after placement of all four sutures. (Data from De Juan E, Hickingbotham D: Flexible iris retractor. Am J Ophthalmol 11:776, 1991).