Article
Small pupil cataract cases
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Published: | March 7, 2012 |
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Outline
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Small (<4.0 mm) pupil is the most common cause of intraoperative complications during cataract surgery. The lecture will list the causes of small pupil, such as glaucoma, diabetes, pseudoexfoliation, previous surgery, use of alfa adrenerg receptor blockers, etc.
All the surgical steps from performing the capsulorhexis to implant the PC-IOL in -the-bag are more difficult, and complications such as iris damage, bleeding, posterior capsule rupture, vitreous loss and even dropped nucleous may occure.
The different pupil dilating techniques will be summarised, and the pupil dilating devices will be listed.
Our own study results on 33 small pupil cases (out of 284 cataract surgeries, 11.6%) will be discussed.
Suggested surgical techniques will be showed on Video.